The nurse, who is reviewing a clinic patient's medical record, ...

[kaid0807]

The nurse, who is reviewing a clinic patient's medical record, notes that the patient missed the previous appointment for weekly immunotherapy. Which action by the nurse is most appropriate?
 
  a. Schedule an additional dose that week.
  b. Administer the usual dosage of the allergen.
  c. Consult with the health care provider about giving a lower allergen dose.
  d. Re-evaluate the patient's sensitivity to the allergen with a repeat skin test.

Question 2

Which teaching should the nurse provide about intradermal skin testing to a patient with possible allergies?
 
  a. Do not eat anything for about 6 hours before the testing.
  b. Take an oral antihistamine about an hour before the testing.
  c. Plan to wait in the clinic for 20 to 30 minutes after the testing.
  d. Reaction to the testing will take about 48 to 72 hours to occur.

[tandmlomax84]

Answer to Question 1

ANS: C
Because there is an increased risk for adverse reactions after a patient misses a scheduled dose of allergen, the nurse should check with the health care provider before administration of the injection. A skin test is used to identify the allergen and would not be used at this time. An additional dose for the week may increase the risk for a reaction.

Answer to Question 2

ANS: C
Allergic reactions usually occur within minutes after injection of an allergen, and the patient will be monitored for at least 20 minutes for anaphylactic reactions after the testing. Medications that might modify the response, such as antihistamines, should be avoided before allergy testing. There is no reason to be NPO for skin testing. Results with intradermal testing occur within minutes.