Upon admission, the patient tells the nurse that they are allergic to “every antibiotic out there” and that they are unable to take anything without getting sick. What is the nurse’s response to this situation?
  1. Write “all antibiotics” on an allergy armband and place it on the patient’s wrist.
  2. Tell the physician not to order antibiotics after surgery because the patient will have an allergic reaction.
  3. Check the patient’s chart and verify past medical history about exactly which antibiotics caused reactions and what the reactions were.
  4. Tell the patient he is probably exaggerating and he will be fine receiving antibiotics.
Explanation
Answer: C-When a patient admitted for surgery verbalizes an allergic reaction to one or several antibiotics, the nurse should check the patient’s chart and verify past medical history about exactly which antibiotics caused reactions and what the reactions were. Because surgery often involves administration of antibiotics to prevent infection, the nurse must find out exactly what types of antibiotics caused the reactions to avoid giving these to the patient. The patient who is allergic to “everything” may not be aware of alternative medications that are available that will not cause a reaction.
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