The nurse is interviewing a client being admitted to the hospital and inquires about any allergies the client has. The client states he is allergic to aspirin and penicillin

Question

What intervention should the nurse provide immediately to prevent complications related to allergies? A) Apply an allergy bracelet and flag the chart.
B) Tape an Epipen to the head of the bed.
C) Inform the client not to take any medications with those substances in them.
D) Call the physician.

Answer 1

A
Feedback:
The nurse asks each client about the existence of any allergies. If any are reported, the nurse flags the medical record and applies a wristband with the appropriate information. Throughout the client's care, the nurse observes for signs of an allergic reaction, especially when administering medication, applying substances such as tape or adhesive patches to the skin. Medication should never be left in the client's room. The responsibility for medications with the identified allergens lies with the healthcare personnel in the acute care facility. The physician does not need to be called if the chart is flagged.