While completing an admission database, the nurse is interviewing a patient who states "I am allergic to latex." Which action will the nurse take first?
a. Immediately place the patient in isolation.
b. Ask the patient to describe the type of reaction.
c. Proceed to the termination phase of the interview.
d. Document the latex allergy on the medication administration record.
ANS: B
The nurse should further assess and ask the patient to describe the type of reaction. The patient will not need to be placed in isolation; before terminating the interview or documenting the allergy, health care personnel need to be aware of what type of response the patient suffered.
You might also like to view...
Which of the following changes associated with aging contributes to heart failure development in older adults? Select all that apply
A) Increased incidence of mitral stenosis B) Sludge buildup in the kidneys C) Elevated diastolic BP D) Increased vascular stiffness E) Inflammation in the joints due to arthritis
Assessing the implementation potential of a nursing innovation includes which of the following activities?
A) Determining the clinical relevance of the innovation B) Assessing its costs and benefits C) Evaluating the scientific merits of relevant studies D) All of the above
Which of the following data collection approaches is most likely to use a topic guide?
A) A completely unstructured interview B) A focus group interview C) A critical incidents interview D) Participant observation
The nurse is caring for a patient whose husband is dying. The patient says that the doctors caring for her husband are very good and that she knows her husband will recover. The nurse recognizes that the patient is likely in which stage of grief?
A) Anger B) Denial C) Acceptance D) Bargaining