Practice Question
The nurse asks a client who is about to have a cardiac catheterization about any allergies. The client states, "I always get a rash when I eat shellfish." Which of the following is the priority nursing action?
Answer Choices:
Correct Answer:
Notify the provider of the client's allergy.
Rationale:
🔹When a client reports a shellfish allergy, there is a heightened concern for a possible cross-reactive sensitivity to iodine-based contrast media, which is commonly used in procedures like cardiac catheterization.
🔹Shellfish allergy is due to tropomyosin, not iodine but clients who report a reaction should still be treated as at-risk.
🔹The priority action is to notify the provider immediately so that appropriate premedication (e.g., corticosteroids, antihistamines) can be considered, or alternative contrast agents or imaging methods can be selected.
🔹This action directly protects the client from a potential anaphylactic reaction, which is life-threatening and must be proactively prevented.
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This question is from RN ATI Medsurg Final Exam which contains 59 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4