Nursing roles in Patient assessment and documentation
Nursing roles in Patient assessment and documentation ( 6 Questions)
A nurse is preparing to administer an intramuscular injection to a client who has a latex allergy.
Which action should the nurse take to prevent an allergic reaction?
This action is not related to preventing an allergic reaction, but rather to preventing contamination or injury from glass particles that may be present in some vials.
The nurse should use a non-latex glove to palpate the injection site, as latex gloves can cause skin irritation, rash, or anaphylaxis in clients who have a latex allergy.
This action is not related to preventing an allergic reaction, but rather to preventing infection by reducing the number of microorganisms on the skin.
This action is not related to preventing an allergic reaction, but rather to preventing leakage or irritation of the medication into the subcutaneous tissue by creating a zigzag path with the needle.
Use a non-latex glove to palpate the injection site
Rationale: The nurse should use a non-latex glove to palpate the injection site, as latex gloves can cause skin irritation, rash, or anaphylaxis in clients who have a latex allergy.
Incorrect options:
A) Use a filter needle to draw up the medication from the vial - This action is not related to preventing an allergic reaction, but rather to preventing contamination or injury from glass particles that may be present in some vials.
C) Use an alcohol swab to cleanse the injection site - This action is not related to preventing an allergic reaction, but rather to preventing infection by reducing the number of microorganisms on the skin.
D) Use a Z-track technique to inject the medication - This action is not related to preventing an allergic reaction, but rather to preventing leakage or irritation of the medication into the subcutaneous tissue by creating a zigzag path with the needle.