Integumentary Assessment Case Study

The nurse questions the client about her symptoms. What should the nurse ask about first? A. History of skin conditions B. What the client has done to treat the itching C. Severity and location of the itching D. Recent exposure to lice or scabies - C. Severity and location of the itching This is the priority question. Itching may be a symptom of a more life threatening problem and the severity needs to be assessed as a priority. The nurse questions the client about anaphylaxis. What client cues would indicate the the presence of an anaphylactic reaction? (Select all that apply. One, some, or all options may be correct.) A. Drooling B. Shortness of breath C. Diaphoresis D. Flushed or pale skin E. Tremors or Seizures - A, B, D The client denies difficulty swallowing, shortness of breath, nausea, or dizziness. No centralized pallor or flushing is noted. The nurse determines that the client is not having a anaphylactic reaction. The nurse will continue to monitor the client for changes in condition. The nurse completes the client interview. The client denies history of skin conditions, rashes, new medications or changes in toiletry or laundry items. The nurse completes the initial client interview and determines the client is in need of diphenhydramine to reduce the effects of the itching. The chart notes parental consent of prn Diphenhydramine. The nurse prepares to administer diphenhydramine 50 mg orally. The tablet is supplied in a 25 mg dose. How many tablets should the nurse give? (Enter numerical value only. If rounding is necessary, round to the tenth.) - 2