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?

"I need to carry the Epi-pen with me at all times."

"When my Epi-pen reaches it's expiration date. I need to get a new one."

"Once I inject myself with my Epi-pen. I won't have to go to the hospital."

"I need to avoid all foods that may have been exposed to peanuts."

Answer and Explanation

The Correct Answer is C

"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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Correct Answer is A

Explanation

Request that the surgeon prescribe a different antibiotic: Cephalexin is a cephalosporin, and there is a risk of cross-reactivity in clients with a history of anaphylaxis to penicillin.

Ask the provider to prescribe diphenhydramine as a precaution: While antihistamines may alleviate mild allergic reactions, they are not a substitute for avoiding high-risk medications in clients with anaphylaxis history.

Confirm with the client that the reaction he had was truly anaphylaxis: The client's medical record already documents anaphylaxis, which should be taken seriously without further questioning.

Administer the medication: This action disregards the client's history of anaphylaxis to a related drug class.

A. Education on Epi-pen B. Maintaining airway C. Emotional support D. Treat urticaria

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

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

Correct Answer is B

Explanation

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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?