Exam (elaborations)
CHAPTER 20: ALLERGIES NCLEX ?'S QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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CHAPTER 20: ALLERGIES NCLEX ?'S QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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CHAPTER 20: ALLERGIES NCLEX ?'SQUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
The client recently admitted to the hospital is to receive an antibiotic intravenously for the first time for a
urinary tract infection. Before checking the five R's prior to administration, what is the nurse's first action?
A. Review the clinical records and ask the client about any known allergies.
B. Check with the pharmacy for any known allergies for this client.
C. Check the client's identification band for any allergies.
D. Ask the nurse who previously cared for the client about any known allergies. - ANSWER A. Review the
clinical records and ask the client about any known allergies.
Rationale
,A. The clinical record should have all known hypersensitivities listed for the client. Also, ask the client about
any known allergies.
B. The pharmacy is not responsible for obtaining from the client information on all known allergies.
C. This is also part of the five R's process at the bedside before the medication is given.
D. Asking the previous nurse is not an appropriate safety measure before medication administration.
Assessment findings reveal that the client admitted to the hospital has a contact type I hypersensitivity to
latex. Which preventive nursing intervention is best in planning care for this client?
A. Report the need for desensitization therapy.
B. Convey the need for pharmacologic therapy to the health care provider.
C. Communicate the need for avoidance therapy to the health care team.
D. Discuss symptomatic therapy with the health care provider. - ANSWER C. Communicate the need for
avoidance therapy to the health care team.
Rationale
, A. Desensitization therapy is administered via allergy shots when allergens have been identified and
cannot easily be avoided.
B. Medications might be indicated if signs of type I or type IV hypersensitivity exist, but this is not a
preventive measure.
C. Contact hypersensitivities can occur with latex, pollens, foods, and environmental proteins. Avoidance
therapy is the recommended nursing intervention.
D. Symptomatic therapy interventions such as epinephrine pen, antihistamines, and corticosteroids are
effective only after the hypersensitivity reaction has already occurred.
The nurse is assessing a client with suspected serum sickness. Which symptoms will be consistent with
serum sickness? Select all that apply.
A. Arthralgia
B. Blurred vision
C. Lymphadenopathy
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