A nurse has been providing a young adult client with a history of ...

[jerry coleman]

A nurse has been providing a young adult client with a history of hypersensitivity reactions. The nurse is preparing instructions on the correct w methods for using an EpiPen. Which client statement indicate understanding of the proper technique?
 
  Select all that apply.
  A) It's fine to leave the EpiPen out in the sun
  B) I frequently check the expiration date
  C) I make sure the EpiPen is always available.
  D) No one else in my family knows how to use the EpiPen.
  E) I don't need a medical alert tag.

Question 2

The nurse is providing discharge instructions for a client who has acute conjunctivitis from Staphylococcus. Which should the nurse include when teaching this client?
 
  Select all that apply.
  A) It is ok to rub your eyes with a clean, soft cloth for itching.
  B) Do not share towels, make-up, or contact lenses with anyone else, as this can spread the infection.
  C) You can soak your eyelids with warm saline to soften crusts and exudates that may form.
  D) Wash your hands before cleansing the eye and administering eye drops.
  E) You may go back to sharing towels when the infection is gone.

[javimendoza7]

Answer to Question 1

Answer: B, C

Proper storage of the kit is important, avoiding exposure to sun or high temperature. The client and family should frequently check the expiration date of the EpiPen. A kit should be readily available in all settings where the client studies, works, or plays. In addition to the client, someone else should always know how to use the kit as well. The client should be encouraged to wear a medical alert bracelet or tag.

Answer to Question 2

Answer: B, C, D

Sharing supplies, such as towels, make-up, or contact lenses, is never a good idea, due to potential for cross-contamination from person to person. But during an actual infection, instructions should include discouragement of using the same equipment after the infection is cleared. Towels need to be washed in hot water. Make-up and contact lenses should be discarded and not reused. Therefore, this action should be included in instructions. Prevention of cross-contamination by handwashing (hand hygiene) will minimize the risk of bringing in other organisms to an already infected eye. This action should be encouraged at all times, but especially when there already is an infection present. Soaking the lids with sterile saline will soften the crusts from exudates that accompany the Staphylococcus infection and should be included in the instructions. The action of rubbing one's eyes can traumatize the eyes further and should not be encouraged. Rubbing also brings the risk of cross-contamination from other sources, including the other eye if only one eye is involved. This action is inappropriate, and should not be included in care.

[jerry coleman]

Thank you

[javimendoza7]

Happy to help you