An ambulatory care client with allergic dermatitis has been given ...

[brutforce]

An ambulatory care client with allergic dermatitis has been given a prescription for a tube of diphenhydramine (Benadryl) 1 to use as a topical agent. The nurse determines that the medication was effective if which of the following was assessed?
 
  1. Nighttime sedation
  2. Decrease in urticaria
  3. Absence of ecchymoses
  4. Healing of burned tissue

Question 2

The nurse is monitoring for bleeding in a child following surgery for removal of a brain tumor. The nurse checks the head dressing and notes the presence of dried blood on the back of the dressing.
 
  The child is alert and oriented, and the vital signs and neurological signs are stable. Which of the following nursing actions would be most appropriate initially? 1. Change the dressing.
  2. Document the findings.
  3. Recheck the dressing in 1 hour.
  4. Check the operative record to determine whether a drain is in place.

[InfiniteSteez]

Answer to Question 1

2

Rationale: Diphenhydramine reduces the symptoms of allergic reaction, such as itching or urticaria, when used as a topical agent on the skin. The oral form also has other uses, such as to provide mild nighttime sedation. It is not used to treat burns or ecchymoses.

Answer to Question 2

4

Rationale: The initial nursing action is to determine whether a drain is in place because this could attribute to the drainage seen on the dressing. The nurse would not change the dressing without a physician's prescription. Rechecking the dressing is an appropriate action, but it is not the initial action. The findings would be documented, but the initial action would be to assess the cause of the drainage further.

[brutforce]

Both answers were spot on, thank you once again

[InfiniteSteez]

Great! Please up vote