A client calls the clinic to report exposure to poison ivy and an ...

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A client calls the clinic to report exposure to poison ivy and an itchy rash that is not helped with over-the-counter antihistamines. What response by the nurse is most appropriate?
 
  a. Antihistamines do not help poison ivy.
  b. There are different antihistamines to try.
  c. You should be seen in the clinic right away.
  d. You will need to take some IV steroids.

Question 2

A nurse suspects a client has serum sickness. What laboratory result would the nurse correlate with this condition?
 
  a. Blood urea nitrogen: 12 mg/dL
  b. Creatinine: 3.2 mg/dL
  c. Hemoglobin: 8.2 mg/dL
  d. White blood cell count: 12,000/mm3

[jessicaduplan]

Answer to Question 1

ANS: A
Since histamine is not the mediator of a type IV reaction such as with poison ivy, antihistamines will not provide relief. The nurse should educate the client about this. The client does not need to be seen right away. The client may or may not need steroids; they may be given either IV or orally.

Answer to Question 2

ANS: B
The creatinine is high, possibly indicating the client has serum sickness nephritis. Blood urea nitrogen and white blood cell count are both normal. Hemoglobin is not related.

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Thank you

[jessicaduplan]

No problemo