A patient, age 47, is undergoing skin testing with intracutaneous ...

[natalie2426]

A patient, age 47, is undergoing skin testing with intracutaneous injections on the forearm to identify allergens to which she is sensitive.
 
  Immediately after the nurse administers one of the injections, the patient complains of itching at the site, weakness, and dizziness. Which action by the nurse is most appropriate initially? a. Elevate the arm above the shoulder.
  b. Administer subcutaneous epinephrine.
  c. Give 0.2 to 0.5 mL of epinephrine 1:1,000 subcutaneously.
  d. Apply a local anti-inflammatory cream to the site.

Question 2

A patient, age 42, develops a severe angioedema involving her face, hands, and feet, with burning and stinging of the lesions. During the assessment, which significant risk factor for allergies does the nurse recognize?
 
  a. Family history of allergies
  b. History of a recent fungal infection
  c. Use of OTC medications
  d. Recurrent respiratory infections

[k2629]

Answer to Question 1

C
At the first sign of reaction, 0.2 to 0.5 mL of epinephrine 1:1,000 is given subcutaneously.

Answer to Question 2

A
A thorough history is the most important diagnostic tool. There is a genetic link to both well-developed immune systems and poorly developed or compromised immune systems.