Which is the priority action by the nurse when a patient discloses a medication allergy during the health history before a surgical procedure?
Verifying the information with the patient's family members at the bedside
Placing an alert bracelet on the patient before leaving the unit
Asking the patient to describe the reaction that occurs
Documenting the information on the patient's medical record
The Correct Answer is C
A. Verifying the information with the patient's family members at the bedside: While family members can provide insight, the most critical step is gathering information directly from the patient about the reaction.
B. Placing an alert bracelet on the patient before leaving the unit: While this is necessary, the nurse should first confirm the details of the allergy.
C. Asking the patient to describe the reaction that occurs: The nurse must determine whether the reaction is a true allergy (e.g., anaphylaxis, rash, difficulty breathing) or an intolerance (e.g., nausea, drowsiness). This ensures appropriate precautions are taken.
D. Documenting the information on the patient's medical record: Documentation is crucial but should follow verification of the allergy details.
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Related Questions
Correct Answer is C
Explanation
A. Suicidal thoughts without a plan are not a cause for concern: Any expression of suicidal thoughts, even without a specific plan, should be taken seriously. Individuals may still be at risk and require further assessment and intervention.
B. Suicide is the leading cause of death for Americans 50-65 years old: While suicide is a significant concern in this age group, it is not the leading cause of death. The leading causes of death for individuals aged 50-65 are heart disease and cancer.
C. Greater than 90% of individuals who commit suicide have a diagnosed mental health disorder: Research indicates that the vast majority of individuals who die by suicide have an underlying mental health disorder, such as depression, bipolar disorder, or substance use disorder.
D. 10,000 Americans commit suicide each year: The number is significantly higher. According to the CDC, over 48,000 Americans die by suicide annually.
Correct Answer is D
Explanation
A. SOAPIE. This format expands on SOAP (adding Intervention and Evaluation), but SOAP is the core problem-oriented format.
B. ODAR. This is not a recognized problem-oriented charting method.
C. OPIE. This is not a standard documentation method.
D. SOAP. SOAP stands for Subjective, Objective, Assessment, and Plan, and is a commonly used method in problem-oriented medical records.
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