A client in the family practice clinic reports a 2-week history of an "allergy to something." The nurse obtains the following assessment and laboratory data:

Question

Physical Assessment Data
Laboratory Results
Reports sore throat, runny nose, headache
Posterior pharynx is reddened
Nasal discharge is seen in the back of the throat
Nasal discharge is creamy yellow in color
Temperature 100.2 ° F (37.9 ° C)
Red, watery eyes
White blood cell count: 13,400/mm3
Eosinophil count: 11.5%
Neutrophil count: 82%
About what medications and interventions does the nurse plan to teach this client? (Select all that apply.)
a.
Elimination of any pets
b.
Chlorpheniramine (Chlor-Trimaton)
c.
Future allergy scratch testing
d.
Proper use of decongestant nose sprays
e.
Taking the full dose of antibiotics

Answer 1

ANS: B, C, D, E
This client has manifestations of both allergic rhinitis and an overlying infection (probably sinus, as evidenced by purulent nasal drainage, high white blood cells, and high neutrophils). The client needs education on antihistamines such as chlorpheniramine, future allergy testing, the proper way to use decongestant nasal sprays, and ensuring that the full dose of antibiotics is taken. Since the nurse does not yet know what the client is allergic to, advising him or her to get rid of pets is premature.