A nurse is caring for a client with an allergic skin condition. The client develops wheezing, a swollen tongue, and hives. Which of the following is the nursing priority?

Assessing the client's neurologic status

Consulting an allergy specialist

Administering epinephrine

Determining the cause of the hives

Answer and Explanation

The Correct Answer is C

Administering epinephrine is the immediate priority when managing anaphylaxis. Epinephrine is the first-line treatment for anaphylaxis as it helps to rapidly reverse severe allergic symptoms, such as airway constriction, swelling, and hypotension.

A. While assessing the client's neurologic status is important for monitoring their overall condition, it may not be the immediate priority when the client is experiencing symptoms of an allergic reaction, particularly anaphylaxis.

B. While consulting an allergy specialist may be necessary for further evaluation and management of the client's allergic condition, it is not the immediate priority.

D. While determining the cause of the hives is important for identifying the allergen and preventing future allergic reactions, it is not the immediate priority during an acute episode of anaphylaxis.

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Correct Answer is D

Explanation

Holistic nursing care is centered around the concept of viewing the client as a whole person, rather than just focusing on their physical symptoms or specific health issues. It considers all aspects of the client's being, including their physical, emotional, social, spiritual, and cultural dimensions.
A. Holistic nursing goes beyond just addressing physical symptoms or illnesses and focuses on promoting healing and wellness in all aspects of the client's life.
B. While collaboration among members of the nursing staff may be part of holistic nursing care, it does not fully capture the essence of what holistic nursing care entails.
C. Holistic nursing care does not necessarily mean that all clients receive the same treatments. Instead, it emphasizes individualized care that considers each client's unique circumstances, preferences, and goals.

A. "Tell me what you feel needs to change to improve your health. B. "Here is a list of treatments that will be best for your concerns." C. "believe our treatment plan will work for you." D. "You are having issues that are commonly associated with anxiety and depression."

Correct Answer is A

Explanation

This statement encourages the client to express their own perspectives, beliefs, and preferences regarding their health and well-being. It fosters client autonomy and acknowledges the importance of understanding the client's cultural context and values when developing a treatment plan. This statement aligns with the principles of the CFI tool.
C. This statement imposes the nurse's perspective on the client and may not be culturally sensitive.
D. This statement imposes the nurse's beliefs and assumptions on the client and may not be culturally sensitive.
B. This statement may not be appropriate without further exploration of the client's experiences, beliefs, and cultural context. It imposes Western diagnostic categories on the client without considering the cultural validity of these categories or the client's own explanatory model of illness.

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A nurse is caring for a client with an allergic skin condition. The client develops wheezing, a swollen tongue, and hives. Which of the following is the nursing priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client who asks, "What is the meaning of holistic nursing care?" The nurse should give which of the following responses?

Correct Answer is D

Explanation

A nurse is using the Cultural Formulation Interview (CFI) tool while collecting a health history from a client who is from a culture different than the nurse. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

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