The nurse is caring for a client in an allergy clinic. After ...

[ericka1]

The nurse is caring for a client in an allergy clinic. After completing the client history, the nurse selects the nursing diagnosis of Risk for Shock. Which item in the client's history supports the need for this nursing diagnosis?
 
  A) Anaphylactic reaction to shellfish
  B) A drug reaction to penicillin causing a rash
  C) Glomerulonephritis
  D) Dermatitis resulting from a response to changing laundry detergent

Question 2

The nurse is planning care for a client with conjunctivitis. Which client statement supports the nursing diagnosis of Risk for Altered Vision?
 
  A) I have had this infection for 3 days.
  B) My mother is blind from retinopathy.
  C) This is the fourth eye infection I have had in the last 6 months.
  D) I think I caught the infection from my child.

[Fayaz00962]

Answer to Question 1

Answer: A

Type I hypersensitivities, such as anaphylactic reactions, occur immediately and may be life-threatening. Because the client has a history of this type of reaction, Risk for Shock is an appropriate nursing diagnosis. The other items would not necessitate the need for this nursing diagnosis.

Answer to Question 2

Answer: C

The concern for this client is the repeated infections that could be a chronic form of conjunctivitis that causes eventual blindness. Having the infection for 3 days is concerning but not as much as the potentially chronic form of the disease. Many adults catch pink eye from a child, but that is not usually the form that causes blindness. The client's mother has blindness from a source other than conjunctivitis.

[ericka1]

Gracias!

[helenmarkerine]

TYSM