A patient presents in the outpatient clinic complaining of itchy red eyes, runny and itchy nose, frequent sneezing. The patient states the symptoms get worse during the spring season. The nurse knows the patient most likely has which of the following?

Urticaria

Allergic rhinitis

Eczema

Contact dermatitis

Answer and Explanation

The Correct Answer is B

A.   Urticaria: Urticaria involves raised, itchy hives, not respiratory symptoms.
B.   Allergic rhinitis: Characterized by itchy, red eyes, sneezing, and a runny nose, often triggered by seasonal allergens like pollen.
C.   Eczema: Eczema involves dry, itchy skin lesions, not respiratory symptoms.
D.   Contact dermatitis: Contact dermatitis results from direct skin contact with allergens or irritants, not airborne allergens.

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Correct Answer is B

Explanation

A. Education on Epi-pen: While education is important, it is not a priority during a severe allergic reaction.
B. Maintaining airway: Airway compromise is the primary concern during a severe allergic reaction due to potential bronchospasm and swelling.
C. Emotional support: Providing emotional support is important but secondary to maintaining the airway.
D. Treat urticaria: Managing skin symptoms like hives (urticaria) is not the top priority when airway obstruction is a risk.

A. "I need to carry the Epi-pen with me at all times." B. "When my Epi-pen reaches it's expiration date. I need to get a new one." C. "Once I inject myself with my Epi-pen. I won't have to go to the hospital." D. "I need to avoid all foods that may have been exposed to peanuts."

Correct Answer is C

Explanation

"I need to carry the Epi-pen with me at all times": Individuals with severe allergies should always have an Epi-pen in case of exposure to allergens. No reinforcement needed.

"When my Epi-pen reaches its expiration date, I need to get a new one": Epi-pens have a limited shelf life, and using an expired pen may be ineffective. No reinforcement needed.

"Once I inject myself with my Epi-pen, I won't have to go to the hospital": Epinephrine provides temporary relief, but further medical evaluation is essential due to the risk of a biphasic reaction or persistent symptoms. Reinforcement needed.

"I need to avoid all foods that may have been exposed to peanuts": Strict avoidance of allergens is essential to prevent severe reactions. No reinforcement needed.

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A patient presents in the outpatient clinic complaining of itchy red eyes, runny and itchy nose, frequent sneezing. The patient states the symptoms get worse during the spring season. The nurse knows the patient most likely has which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse knows that the priority for a patient experiencing a severe allergic reaction is which of the following?

Correct Answer is B

Explanation

The nurse is educating a patient concerning use of an Epi-pen for a severe allergic reaction to peanuts. Which of the following statements, made by the patient, allows the nurse to know that the education must be reinforced?

Correct Answer is C

Explanation

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