A nurse administered a dose of penicillin to a client 30 min ago.The client reports she has hives and is itching.
Which of the following statements by the nurse is the highest priority?

Choice A rationale

Disinfecting the wound bed with alcohol can cause tissue damage and delay healing. The appropriate action is to clean the wound with a saline solution.

Choice B rationale

Preparing sterile dressing supplies 30 minutes before the procedure can compromise sterility. Supplies should be prepared immediately before use.

Choice C rationale

Sterile gloves are worn during the dressing change procedure, not for removing the old dressing. Clean gloves are appropriate for removing the old dressing.

Choice D rationale

Offering the client pain medication before the procedure can help manage pain and discomfort during the dressing change.

Choice A rationale

Cabbage is low in potassium, making it a suitable food for clients who need to avoid high-potassium foods. It contains approximately 150 mg of potassium per cup, which is relatively low compared to other vegetables.

Choice B rationale

Watermelon is a fruit with moderate potassium content, containing about 170 mg of potassium per cup. While not extremely high, it is not the best choice for someone seeking to increase potassium intake significantly.

Choice C rationale

A medium potato is high in potassium, with about 900 mg of potassium. Potatoes are an excellent source of potassium, which is essential for maintaining proper muscle and nerve function.

Choice D rationale

An apple is low in potassium, containing around 150 mg per small apple. It is a good option for clients who need to limit their potassium intake, but not for those looking to increase it. .