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

Choice A rationale

While gloves are part of the standard personal protective equipment (PPE) for healthcare workers, they are not specifically required for droplet precautions when preparing a patient’s meal tray.

Choice B rationale

Goggles are not specifically required for droplet precautions when preparing a patient’s meal tray. They are typically used to protect the eyes during procedures that may generate splashes of blood, body fluids, secretions, or excretions.

Choice C rationale

A gown is not specifically required for droplet precautions when preparing a patient’s meal tray. Gowns are typically used during procedures that may generate splashes of blood, body fluids, secretions, or excretions.

Choice D rationale

A mask is required for droplet precautions. Droplets that are generated by the patient can be inhaled by individuals who are within close proximity. Wearing a mask can help to prevent the inhalation of these droplets.

A. Assess orthostatic blood pressure. B. Administer pain medication. C. Explain the procedure for an upper gastrointestinal series. D. Test the patient’s emesis for blood.

Correct Answer is A

Explanation

The first action the nurse should take when caring for a patient with gastrointestinal bleeding is to assess orthostatic blood pressure. This can help determine the extent of the patient’s blood loss and whether they are experiencing hypovolemia.

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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

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient who requires droplet precautions.What personal protective equipment should the nurse wear when preparing the patient’s meal tray?

Correct Answer is D

Explanation

A nurse is caring for a patient who has gastrointestinal bleeding. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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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?