VSim Charlie Snow Core Pre/Post Sim
Charlie tells the nurse he is excited about an upcoming camping trip. Which statement by the nurse should be included when teaching Charlie and his aunt how to reduce the risk of contact dermatitis related to poison ivy?
Charlie should wear long sleeves and long pants when hiking in the woods.
The nurse is assessing a patient with a suspected allergic reaction. Which of the following reactions would lead the nurse to conclude that the patient is experiencing a mild allergic reaction?
Localized redness, rash, and itching.
The nurse is educating the patient on how to properly use an epinephrine auto-injector (EpiPen). Place the following tasks in the appropriate order.
1. Grasp the auto-injector with the black tip pointing downward. 2. Pull off the gray safety release with the other hand. 3. Jab the auto-injector firmly into the outer thigh. 4. Hold firmly there for 10 seconds. 5. Remove the auto-injector and massage the thigh for 10 seconds. 6. Call 911 and seek medical attention.
The nurse is educating a patient on the proper administration of topical hydrocortisone. Which of the following needs to be included? (select all that apply)
Apply a thin layer of medication while rubbing it in gently; Cleanse affected area and assess skin integrity prior to medication application.
A nurse is describing to a new nurse how diphenhydramine works. Which of the following correctly describes the mechanism of action of diphenhydramine?
Competes for H1-receptor sites to prevent histamine-mediated responses.
Charlie's aunt asks what can be done to prevent you prepare for an anaphylactic event. Which of the following should the nurses response include? (select all that apply)
Confirmed that his teachers and school nurse how to recognize and treat anaphylaxi; Verify that Charlie has an allergic action plan on file with the school nurse; Teach Charlie which foods are safe and which foods you should avoid.
A nurse is explaining to a new nurse what causes contact dermatitis. Which of the following best describes the pathophysiology of this condition?
Contact with the antigen results in T-lymphocyte proliferation causing an allergic response.
What would be the highest priority and most appropriate nursing diagnosis 46-year-old patient who symptoms include edging, redness, and inflammation of the hands and arms?
Impaired skin integrity related to hypersensitivity reaction.
When teaching Charlie and his at the proper use of an epinephrine auto-injector, what is the best way for the nurse to determine whether the teaching has been effective?
Have Charlie demonstrate how to use the auto-injector.
The nurse is completing a focused cardiovascular assessment on a 6-year-old patient who arrived with a mild allergic reaction. Which finding would suggest that the patient's condition is worsening?
Peripheral pulses weak and thready.
The nurse is preparing to administer Charlie's dose of diphenhydramine elixir. Charlie asked to drink the medicine for me 1 ounce cup instead of a 5 mL syringe "because it has less medicine. " The nurse determines that Charlie is in which stage of cognitive development?
Preoperations
A patient has an order for diphenhydramine elixir 12.5 mg orally every 6 hours for 24 hours, and then as needed for rash. The nurse only has access to diphenhydramine in a 50 mg/mL intravenous (IV) injectable vial. The nurse draws up 0.25 mL into a syringe to administer to the patient. Which principle of medication administration has the nurse violated?
Right route.
A nurse is assessing the pain level every six-year-old hospitalized with an allergic reaction. Which approach would be the best in this case?
Show the faces scale and ask the patient to choose which face shows how they feel.
Which of the following would be the best snack option for a patient with a peanut allergy?
String cheese and pita chips.
A nurse is providing instruction to a caregiver regarding food allergies. Which of the following statements should the nurse include? (select all that apply)
The most common food allergens in children include milk, eggs, peanuts, wheat, and soy; Food and insect sting allergies are the most common causes of anaphylaxis; Ingestion of a specific food causes the immune system to respond with an allergic reaction.
Charlie is brought into the clinical following a suspected allergic reaction. He is stable and currently in the care of an aunt and uncle while his parents are both serving in the military overseas. Which of the following must the nurse to you prior to providing medical care?
Verified that the caregivers have authority to consent and obtain documentation.
After giving discharge instructions regarding care of contact dermatitis which response by Charlie's aunt indicates that teaching has been effective?
Watching Charlie's clothes with laundry soap for sensitive skin will reduce the chance of this happening again.
The nurse is caring for a patient admitted with an allergic reaction. which significant finding by the nurse would indicate that the patient is experiencing anaphylaxis, rather than a more mild reaction?
Wheezing
