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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Dopamine: Dopamine is mainly involved in motivation, pleasure, and movement. Deficiencies are linked to Parkinson’s disease and schizophrenia rather than sleep and memory issues.

B. Serotonin: Serotonin plays a major role in regulating sleep, mood, and cognitive function. Low serotonin levels are associated with depression, sleep disturbances, and memory problems.

C. Norepinephrine: Norepinephrine is involved in alertness and the fight-or-flight response. While it affects attention and arousal, its deficiency is less directly linked to sleep dysregulation and memory loss.

D. Histamine: Histamine is primarily involved in wakefulness and allergic responses. While it plays a role in arousal, it is not the primary neurotransmitter for sleep regulation and memory.

A. Weight loss B. Headache C. Dry mouth D. Insomnia

Correct Answer is C

Explanation

A. Weight loss: Antipsychotics are more commonly associated with weight gain, particularly atypical antipsychotics like olanzapine and clozapine.

B. Headache: While headaches may occur, they are not among the most common side effects of antipsychotics.

C. Dry mouth: Antipsychotics often cause dry mouth due to their anticholinergic effects. Other anticholinergic side effects include constipation and blurred vision.

D. Insomnia: Antipsychotics are more likely to cause sedation rather than insomnia, particularly first-generation agents like chlorpromazine.

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Which is the priority action by the nurse when a patient discloses a medication allergy during the health history before a surgical procedure?

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