During the admission assessment to the hospital, an adult client reports being allergic to latex, penicillin, and bananas. Which intervention should the nurse implement first?

Secure an allergy bracelet around the client's wrist.

Notify the dietary department of the client's fruit allergy.

Send a list of medication allergies to the pharmacy.

Place a latex-free supply cart outside the client's room.

Answer and Explanation

The Correct Answer is A

Choice A reason: An allergy bracelet provides immediate visual notification of the client's allergies to all healthcare personnel, which is crucial for preventing allergic reactions.

Choice B reason: Notifying the dietary department is important, but it does not have the same immediate impact on client safety as an allergy bracelet.

Choice C reason: Sending a list of medication allergies to the pharmacy is a necessary step, but it is secondary to providing immediate identification of the client's allergies.

Choice D reason: Placing a latex-free supply cart outside the room is a proactive measure to prevent exposure to latex, but the first step should be to ensure that the client's allergies are clearly identified for all staff.

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Correct Answer is D

Explanation

Choice A reason: Recording the client's pulse rate and rhythm is part of the assessment, but it is not the first action to take when assessing for orthostatic hypotension.
Choice B reason: Assisting the client to stand is part of the assessment process, but it should be done after the initial blood pressure and pulse have been measured while the client is supine.
Choice C reason: Applying the blood pressure cuff securely is necessary for an accurate reading, but it is not the first step in the process of assessing for orthostatic hypotension.
Choice D reason: The first action is to position the client supine for a few minutes before taking the initial blood pressure and pulse measurements, as this provides a baseline for comparison when the client stands.

A. Analogies. B. Role-playing. C. Return demonstration. D. Journaling.

Correct Answer is B

Explanation

Choice A reason: Analogies can be useful for explaining concepts but may not provide the hands-on practice needed for managing confrontational situations.
Choice B reason: Role-playing is an effective strategy for practicing communication skills, as it allows staff to simulate and navigate difficult conversations in a controlled environment.
Choice C reason: Return demonstration is typically used for teaching psychomotor skills and may not be as effective for communication training.
Choice D reason: Journaling is a reflective practice but does not offer the interactive experience needed to prepare for real-life scenarios involving angry family members.

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During the admission assessment to the hospital, an adult client reports being allergic to latex, penicillin, and bananas. Which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When performing blood pressure measurements to assess for orthostatic hypotension, which action should the nurse implement first?

Correct Answer is D

Explanation

The nurse learns that members of the nursing staff are uncomfortable with responding to client family members who are angry. While designing a teaching session to help the staff respond more effectively in these situations, which instructional strategy is best for the nurse to use?

Correct Answer is B

Explanation

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