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Question:
A nurse has just received report and taken over care of a new patient admitted to the floor for pneumonia. The patient is febrile and has been started on IV antibiotics. Based on this information, which of these statements from this patient should concern the nurse the most?
A
“I’m itching and my mouth feels swollen.”
explanation
The nurse should be concerned with signs of an allergic reaction to the antibiotic medication. The other statements are typical of a patient with pneumonia. Signs of allergic reaction are a priority indicator that the nurse needs to intervene promptly.
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