2100 hrs - Critical Incident
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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A patient’s address is indeed an example of personally identifiable information. This statement is correct and does not indicate a need for further teaching.
Choice B rationale
HIPAA is indeed a federal law, not a state law. This statement is correct and does not indicate a need for further teaching.
Choice C rationale
HIPAA did establish regulations of individually identifiable health information in verbal, electronic, or written form. This statement is correct and does not indicate a need for further teaching.
Choice D rationale
Information about a client cannot be disclosed to family members at any time without the client’s consent. This statement indicates a need for further teaching.
Correct Answer is B
Explanation
Choice A rationale
Eyelid swelling is not a common side effect of sumatriptan. If a patient experiences this side effect, they should report it to their healthcare provider.
Choice B rationale
If the headache persists after taking sumatriptan, the patient can repeat the dose in 1 hour. This is a standard instruction for the use of sumatriptan in the treatment of migraine headaches.
Choice C rationale
Sumatriptan is not typically taken daily to prevent headaches. It is used to treat migraines once they have started.
Choice D rationale
Sumatriptan tablets should be swallowed whole, not chewed. Chewing the tablet could result in too much of the drug being released at once.
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