2100 hrs - Critical Incident

Exhibits

A nurse is providing discharge teaching to a client recently diagnosed with a latex allergy. Which of the following client statements indicates a need for further teaching?

"I will apply elastic bandages to cuts."

"I will use dishwashing gloves when cleaning the dishes."

"I will use ink pens for writing."

"I will buy balloons for my son's birthday."

None

Answer and Explanation

The Correct Answer is D

Choice A rationale:
Elastic bandages can contain latex, which could potentially cause an allergic reaction. However, latex-free alternatives are available. The client should be advised to specifically look for latex-free bandages. This statement indicates a need for further teaching because using standard elastic bandages might expose the client to latex.

Choice B rationale:
Many dishwashing gloves are made from latex, but there are latex-free alternatives available. The client should be instructed to use latex-free gloves to avoid latex exposure. This statement indicates a need for further teaching as the client might choose latex gloves unintentionally.

Choice C rationale:
Most ink pens do not contain latex. Therefore, using ink pens is generally safe for individuals with latex allergies. This statement does not indicate a need for further teaching.

Choice D rationale:
Balloon latex is a common allergen, and exposure to latex balloons can trigger an allergic reaction in individuals with latex allergies. This statement indicates a need for further teaching because the client should avoid latex balloons and opt for latex-free alternatives to prevent allergic reactions.

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Correct Answer is D

Explanation

The correct answer is Choice D

Choice A rationale: Moral reasoning, including distinguishing right from wrong, requires abstract cognitive processing and internalization of social norms, typically emerging during the concrete operational stage around age 7. Toddlers are in Piaget’s sensorimotor to early preoperational phase, where egocentrism dominates and behavior is guided by immediate consequences rather than ethical principles. They lack the neurological maturity and social-cognitive integration required for moral discourse, making this milestone developmentally inappropriate for the toddler age group.

Choice B rationale: Performing simple chores involves task comprehension, motor coordination, and social cooperation, which are more consistently observed in preschool-aged children (4–5 years). Toddlers may imitate adult actions but lack sustained attention, impulse control, and fine motor precision needed for chore completion. Their psychosocial development is centered on autonomy and exploration, not structured responsibility. Expecting chore cooperation at this stage exceeds normative developmental expectations and may lead to frustration or behavioral resistance.

Choice C rationale: Printing letters and numbers requires advanced fine motor control, visual-motor integration, and symbolic cognition, typically achieved between ages 5 and 6. Toddlers are still developing basic hand-eye coordination and may engage in scribbling, but they lack the neuromuscular refinement and cognitive mapping needed for structured writing. Neurodevelopmental milestones do not support this skill in the toddler phase, making it scientifically inaccurate to expect printing behavior before preschool age.

Choice D rationale: By age 3, toddlers begin to tolerate brief separations from primary caregivers due to improved object permanence, emotional regulation, and social awareness. This aligns with Erikson’s autonomy vs. shame and doubt stage, where toddlers explore independence while maintaining secure attachment. Separation anxiety peaks around 9–18 months and typically declines by age 3. The ability to separate easily for short periods reflects healthy psychosocial development and is a scientifically appropriate expectation for toddlers.

A. Take the medication with an aspirin to enhance its effectiveness. B. Taking the maximum dose will provide stroke prevention. C. Sustained-release forms can be crushed for easier administration. D. Take the medication with food.

Correct Answer is D

Explanation

Choice A rationale

Taking ibuprofen with aspirin is not typically recommended without a doctor’s advice. Both are nonsteroidal anti-inflammatory drugs (NSAIDs), and taking them together increases the risk of side effects such as stomach bleeding.

Choice B rationale

Ibuprofen is not used for stroke prevention. Aspirin, not ibuprofen, is often used for this purpose because of its antiplatelet effect.

Choice C rationale

Crushing sustained-release forms of medication is generally not recommended because it can lead to a rapid release and absorption of the drug, which increases the risk of side effects.

Choice D rationale

Taking ibuprofen with food is often recommended to reduce the risk of stomach upset.

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2100 hrs - Critical Incident Exhibits A nurse is providing discharge teaching to a client recently diagnosed with a latex allergy. Which of the following client statements indicates a need for further teaching?

Nursing Test Bank

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2100 hrs - Critical Incident

Exhibits

A nurse is providing discharge teaching to a client recently diagnosed with a latex allergy. Which of the following client statements indicates a need for further teaching?