A home health nurse is teaching a client who has a latex allergy about items typically found in the home that can trigger an allergic reaction. Which of the following items should the nurse instruct the client to avoid? (Select all that apply.).

Dishwashing gloves.

Adhesive tape.

Macadamia nuts.

Bananas.

Rubber bands.

Answer and Explanation

Correct Answer : A,B,E

Choice A rationale:

Dishwashing gloves are often made of latex, which can trigger an allergic reaction in individuals with a latex allergy. Direct contact with latex-containing items should be avoided to prevent allergic responses.

Choice B rationale:

Adhesive tape commonly contains latex and can lead to allergic reactions in individuals with a latex allergy. Avoiding contact with latex-containing items is crucial to prevent potential allergic symptoms.

Choice C rationale:

Macadamia nuts and bananas do not typically contain latex and are not known to trigger latex allergies. While these items can cause allergic reactions in some individuals, they are not relevant to a latex allergy.

Choice D rationale:

While macadamia nuts and bananas can cause allergies in some people, they do not contain latex and are not associated with latex allergies. Therefore, they are not items that the nurse needs to instruct the client to avoid due to their latex allergy.

Choice E rationale:

Rubber bands are often made from latex, which can provoke an allergic reaction in individuals with a latex allergy. Encouraging the client to steer clear of items like rubber bands helps prevent potential allergic responses.

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Correct Answer is A

Explanation

Choice A rationale:

When leaving a client's isolation room, the nurse should remove gloves (Choice A) first. Gloves are considered contaminated and can harbor microorganisms. Removing them first helps prevent the spread of potential pathogens to other surfaces or items while removing other personal protective equipment (PPE).

Choice B rationale:

Goggles (Choice B) protect the eyes from splashes and airborne particles. However, they should be removed after gloves. Gloves have a higher potential for contamination due to direct contact with the client and the environment.

Choice C rationale:

Removing the gown (Choice C) should follow the removal of gloves and goggles. The gown provides a barrier against potential contaminants and should be taken off to prevent self-contamination while disrobing from other PPE.

Choice D rationale:

The mask (Choice D) should be removed last. It provides respiratory protection and prevents the nurse from inhaling airborne particles. Keeping the mask on while removing other PPE items helps maintain a barrier against potential exposure to respiratory pathogens.

A. Metabolic acidosis. B. Respiratory acidosis. C. Metabolic alkalosis. D. Respiratory alkalosis.

Correct Answer is D

Explanation

Choice A rationale: Metabolic acidosis would present with a pH below 7.35 and a low HCO3 level. This client's pH is elevated at 7.47, which indicates an alkalotic state rather than an acidic one.

Choice B rationale: Respiratory acidosis is characterized by a pH below 7.35 and a PaCO2 above 45 mm Hg. This client's results show the opposite: a high pH and a low PaCO2 level.

Choice C rationale: Metabolic alkalosis requires an elevated HCO3 (typically above 26 mEq/L) to be the primary cause of the high pH. Here, the HCO3 is 25 mEq/L, which is within the normal range.

Choice D rationale: Respiratory alkalosis is defined by a pH above 7.45 and a PaCO2 below 35 mm Hg. The client's pH of 7.47 and PaCO2 of 30 mm Hg perfectly fit this clinical diagnosis.

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A home health nurse is teaching a client who has a latex allergy about items typically found in the home that can trigger an allergic reaction. Which of the following items should the nurse instruct the client to avoid? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is leaving a client's isolation room. Which of the following pieces of personal protective equipment (PPE) should the nurse remove first?

Correct Answer is A

Explanation

A nurse is reviewing the ABG results for a client. The client's results are pH 7.47, PaCO2 30 mm Hg, HCO3 25 mEq/L, and SaO2 90%. The nurse should identify that the client is experiencing which of the following acid-base imbalances?

Correct Answer is D

Explanation

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