The nurse is preparing to instruct a patient with hypersensitivity reactions to bee stings. What should the nurse include in this teaching?
Select all that apply.
1. Wear a Medic-alert bracelet identifying the allergy at all times.
2. Carry an epinephrine pen at all times.
3. Wear long-sleeved clothing while outdoors.
4. Minimize exposure by staying indoors.
5. Take an antihistamine prior to going outdoors.
Correct Answer: 1, 2, 3
This patient should wear a Medic-alert bracelet identifying allergy, carry an epinephrine pen at all times, and wear long sleeves while outdoors. It is not necessary for the patient to stay indoors or take an antihistamine prior to going outside.
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A nurse is working on a presurgical floor and is assessing patients who will receive isoflurane as part of balanced anesthesia for surgery
For which of the following patients will the nurse plan for a longer recovery period and a greater potential for adverse effects from isoflurane? A) A 32-year-old male with a history of drug abuse B) A 27-year-old female who weighs 298 pounds C) A 45-year-old male with a history of cigarette smoking and asthma D) A 53-year-old female with a history of alcohol abuse
The nurse is attempting to help the client acknowledge a recent loss so that grieving can progress. During the interview, one of the best techniques for the nurse to use would be:
1. Telling the client everything will be fine. 2. Pushing the client to answer questions. 3. Using open-ended questions to get the client talking. 4. Calling in an expert such as a minister or chaplain.
The nurse is caring for a patient experiencing a relapse of a schizophrenia spectrum disorder. As the nurse considers the plan of care, which type of nursing intervention will the nurse give priority?
1. Patient education 2. Direct action 3. Disease prevention 4. Family involvement
A client infected with Burkholderia cepacia is admitted to the unit. What is the nurse's priority action when caring for this client?
a. Instruct the client to wash his or her hands after contact with other people. b. Place the client on strict isolation. c. Keep the client isolated from other clients with cystic fibrosis. d. Administer IV vancomycin daily.