A patient states that she is allergic to penicillin, but the medication record says no known allergies. What should the nurse do first?
Correct answer: B. Ask the patient to describe the previous reaction
- A. Administer the prescribed antibiotic as recorded
- B. Ask the patient to describe the previous reaction
- C. Delete the allergy entry from the medication record
- D. Ask a family member to decide which record is correct
Explanation
The nurse should validate the discrepancy by asking what happened, when it occurred and how severe the reaction was. The antibiotic should not be given until the allergy information is clarified and documented appropriately.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
About Nursing Process and Health Assessment
Assessment gathers subjective and objective data through health history, physical examination and observation. The nursing process then uses nursing diagnoses, planning, implementation and evaluation to provide individualised care, while distinguishing a nursing diagnosis from a medical diagnosis and identifying priorities such as airway, breathing, circulation and safety.
Practise Nursing Process and Health Assessment
50 free Nursing Process and Health Assessment MCQs from Fundamentals of Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Fundamentals of Nursing questions like this
Fundamentals of Nursing is on 9 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Nursing Process and Health Assessment questions
When performing a general physical examination, which sequence is usually correct?
A patient with diabetes has a new foot ulcer. Which nursing action is most appropriate during the initial assessment?
Which finding should the nurse record as objective data in a health assessment?
Which information is most important when completing a patient's medication history?
A patient is confused and cannot provide a reliable health history. Which action is most appropriate?
A nurse records weight gain, dependent oedema, elevated blood pressure and crackles at both lung bases. Which action represents analysis of the assessment data?