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 A

Explanation

Choice A rationale

Orlistat works by inhibiting the absorption of dietary fats in the body, which are then excreted in the stool. One of the side effects of this process can be changes in bowel habits, including an increase in the frequency of bowel movements and an oily discharge. Dark urine can be a sign of liver damage, which is a rare but serious side effect of orlistat. Therefore, if a patient notices their urine getting darker in color while taking orlistat, they should stop taking the medication and call their doctor immediately.

Choice B rationale

Orlistat should be taken with a meal that contains fat, not necessarily before breakfast. If a meal is missed or contains no fat, the dose of orlistat should be skipped.

Choice C rationale

Orlistat does not directly affect hunger signals or the feeling of fullness. It works in the digestive system to block about one-third of the fat in the food you eat from being digested.

Choice D rationale

While it’s important to maintain a balanced, reduced-calorie diet while taking orlistat, a no-fat diet is not recommended. Orlistat works by blocking the absorption of some of the fat from meals. If a meal contains no fat, there is no fat for orlistat to block.

A. “This is the medication that your doctor wants you to take.”. B. “Sometimes the same pill comes in a different color.”. C. “I will check your medication order again.”. D. “Let me explain the purpose of the medication.”. .

Correct Answer is C

Explanation

Choice A rationale

Telling the patient that this is the medication their doctor wants them to take does not address the patient’s concern about the color of the pill.

Choice B rationale

While it’s true that the same medication can sometimes come in different colors, this response does not confirm that the orange pill is the correct medication for the patient.

Choice C rationale

Checking the medication order again is the best response. This will ensure that the patient is receiving the correct medication.

Choice D rationale

Explaining the purpose of the medication does not address the patient’s concern about the color of the pill.

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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 educating a patient with binge eating disorder and morbid obesity who has been prescribed orlistat. Which of the following statements, if made by the patient, would indicate that they understand the teaching?

Correct Answer is A

Explanation

A nurse is administering an oral medication to an older adult patient. The patient states, “The pill I always take is green.I don’t take an orange pill.”. What should the nurse respond?

Correct Answer is C

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?