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red blotches
itching and urticaria
erythema and angioedema
After the initial treatment, a patient with Lyme disease reports dizziness, and on
examination the nurse notes an irregular heart rhythm. Which question would the
nurse ask the patient to determine causative factors?
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Did you complete your course of antibiotics?
,Which nursing intervention is the immediate priority when caring for a patient with the
following symptoms: wheezing, difficulty breathing, angioedema, BP of 70/52, and a
pulse of 122 bpm that is irregular?
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Apply oxygen using a high flow nonrebreather mask at 90-100%.
Which preventive nursing intervention is best in planning care for a patient admitted
to the hospital who has a contact type I hypersensitivity to latex?
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Communicate the need for avoidance therapy to the health care team.
Which type of hypersensitivity reaction is the patient experiencing with a poison ivy
skin rash experiencing?
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delayed reaction
A patient who is receiving an IV antibiotic begins to cough and states, "My throat feels
like it is swelling." Which action will the nurse take next?
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, Discontinue infusing the antibiotic.
A patient with a type I allergy is treated with antihistamines and corticosteriods. Which
other measure can help the patient to prevent future recurrence of allergies?
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Avoidance therapy.
When administering an antibiotic IV for the first time, which action is first before
checking the five rights?
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Review the clinical records and ask the patient about any known allergies.
Which condition is associated with a type II hypersensitivity reaction?
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autoimmune hemolytic anemia
After teaching a patient with lupus ways to manage disease related pain by
decreasing inflammation, which action made by the patient indicates a need for
further instruction?