Answer to Question 1
B
The nurse should further assess and ask the patient to describe the type of reaction. The patient will not need to be placed in isolation; before terminating the interview or documenting the allergy, health care personnel need to be aware of what type of response the patient suffered.
Answer to Question 2
A
The diagnostic label directs nursing interventions. This requires the correct selection of related factors. For example, Activity intolerance related to excess weight gain requires very different interventions than if the related factor is prolonged bed rest. In this case, the intolerance is related to the patient's excessive weight. He is not on bed rest, although he claims that it is difficult for him to get out of bed. Shortness of breath is a symptom, not a cause, of Impaired gas exchange, making this nursing diagnosis ineffective. The patient certainly has an imbalance of nutrition, but it is more than body requirements.
Sharing patient information with colleagues is an important nursing role
Patient Position for Posterior Percussion
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
This patient presented with a case of facial palsy caused by an infection by the bacterial ...
By the People: A History of the United States, AP Edition
Groundwater troubles in the United States