A nurse is planning care for a client who experienced an anaphylactic reaction. Which of the following findings should the nurse identify as the most important indication for a referral to an allergy specialist?

The client was administered epinephrine.

The client experienced a biphasic reaction.

The client required the administration of glucagon in addition to epinephrine.

The client does not know what triggered the reaction.

Answer and Explanation

The Correct Answer is D

Not knowing what triggered the allergic reaction is a significant concern and may indicate a need for allergy testing and evaluation by an allergy specialist. Identifying the trigger allergen is crucial for implementing avoidance strategies, preventing future allergic reactions, and managing the client's overall health and well-being.
A.   While the administration of epinephrine indicates the severity of the allergic reaction and the need for immediate treatment, it may not be the most important indication for referral to an allergy specialist on its own.
B.   A biphasic reaction refers to the recurrence of symptoms after an initial resolution of an allergic reaction. Biphasic reactions can occur within hours or days after the initial reaction and can be severe or even life-threatening. This, however, does not necessitate need for a specialist.
C.   While severe hypoglycemia can occur in some cases of anaphylaxis, it may not be the primary indication for referral to an allergy specialist.

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Correct Answer is A

Explanation

Sunbathing behavior can be altered by practicing sun-safe behaviors, such as seeking shade, wearing protective clothing, and using sunscreen, it is considered a modifiable risk factor for developing skin cancer.

B, C, D are non-modifiable risk factors.

A. To decrease the client's stress B. To detect changes in the client's condition C. To empower the client to be engaged in personal care D. To Increase the client's motivation to learn about their culture

Correct Answer is C

Explanation

Understanding a client's cultural and spiritual beliefs can indeed empower them to be engaged in their personal care. By incorporating their beliefs into the care plan, the client may feel more respected, understood, and motivated to participate in their treatment.

A. Familiarity with cultural and spiritual beliefs allows the nurse to provide care that aligns with the client's values and practices, potentially reducing anxiety or distress but is not directly related to schizophrenia

B. While knowledge of cultural and spiritual beliefs is important for holistic care, it may not directly aid in the detection of changes in the client's condition related to schizophrenia.

D. While exploring a client's cultural and spiritual beliefs may spark interest in learning more about their culture, this may not necessarily be the primary purpose for collecting this information in the context of caring for someone with schizophrenia.

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A nurse is planning care for a client who experienced an anaphylactic reaction. Which of the following findings should the nurse identify as the most important indication for a referral to an allergy specialist?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a modifiable risk factor for developing a disease?

Correct Answer is A

Explanation

A nurse is asking a client who has schizophrenia about their cultural and spiritual beliefs. Which of the following is the purpose for collecting this information?

Correct Answer is C

Explanation

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