Author Question: Immediately after the nurse administers an intracutaneous injection of an allergen on the forearm, a ... (Read 32 times)

tatyanajohnson · **on:** Jun 25, 2018

Immediately after the nurse administers an intracutaneous injection of an allergen on the forearm, a patient complains of itching at the site and of weakness and dizziness. What action should the nurse take first?

a. Remind the patient to remain calm.
b. Administer subcutaneous epinephrine.
c. Apply a tourniquet above the injection site.
d. Rub a local antiinflammatory cream on the site.

Question 2

A clinic patient is experiencing an allergic reaction to an unknown allergen. Which action is most appropriate for the registered nurse (RN) to delegate to a licensed practical/vocational nurse (LPN/LVN)?

a. Perform a focused physical assessment.
b. Obtain the health history from the patient.
c. Teach the patient about the various diagnostic studies.
d. Administer skin testing by the cutaneous scratch method.

shayla · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
Application of a tourniquet will decrease systemic circulation of the allergen and should be the first reaction. A local antiinflammatory cream may be applied to the site of a cutaneous test if the itching persists. Epinephrine will be needed if the allergic reaction progresses to anaphylaxis. The nurse should assist the patient to remain calm, but this is not an adequate initial nursing action.

Answer to Question 2

ANS: D
LPN/LVNs are educated and licensed to administer medications under the supervision of an RN. RN-level education and the scope of practice include assessment of health history, focused physical assessment, and patient teaching.