The nurse, who is reviewing a clinic patient's medical record, notes that the patient missed the previous appointment for weekly immunotherapy. Which action by the nurse is most appropriate?
a. Schedule an additional dose that week.
b. Administer the usual dosage of the allergen.
c. Consult with the health care provider about giving a lower allergen dose.
d. Re-evaluate the patient's sensitivity to the allergen with a repeat skin test.
ANS: C
Because there is an increased risk for adverse reactions after a patient misses a scheduled dose of allergen, the nurse should check with the health care provider before administration of the injection. A skin test is used to identify the allergen and would not be used at this time. An additional dose for the week may increase the risk for a reaction.
You might also like to view...
An older patient with end-stage renal and heart failure is experiencing odd dreams and is talking with people who are not present in the room. What does this finding indicate to the nurse?
1. Pending death 2. Ineffective pain medication 3. Overdose of narcotic medication 4. Normal visual and auditory hallucinations at the end of life
A nurse is checking the postpartum orders. The doctor has prescribed bed rest for 6-12 hours. The nurse knows this is an appropriate order if the client had which type of anesthesia?
1. Spinal 2. Pudendal 3. General 4. Epidural
The nurse instructing the mother on how to care for the umbilical cord of the newborn would direct the mother to:
a. wash the cord only with warm water and gently dry it b. apply 70% isopropyl alcohol or hydrogen peroxide to the base next to the skin and to the cord with each diaper change c. use a solution of baby shampoo and water on the cord, rinse, and dry carefully d. wash the cord with a solution of Ivory soap and water, dry, air for 30 minutes, and apply triple antibiotic ointment after baths and diaper changes
A 3-year boy is diagnosed with Duchenne muscular dystrophy following several noticeable developmental delays. The child appears to waddle and a positive Gower's sign is exhibited. What occurs when this sign is documented?
A) The child walks on his toes. B) The child falls to one side while hopping. C) The child uses upper extremity muscles to compensate for weak hip muscles. D) The child has a scissor-like gait and crosses one foot in front of the other to walk.