A nurse in a surgical suite is planning care for a client who requires surgery and has a latex sensitivity. Which of the following strategies is appropriate for this client?

Remove stopcocks from IV tubing

Disinfect and powder any latex products before use.

Tape stockinet over monitoring devices and cords.

Schedule the client as the last surgery of the day.

Answer and Explanation

The Correct Answer is C

Rationale:

A. Remove stopcocks from IV tubing: Removing stopcocks is not necessary and may compromise IV line function. The priority is to prevent contact with latex-containing components, not to eliminate all IV hardware, as many are latex-free.

B. Disinfect and powder any latex products before use: Powdered latex products increase the risk of airborne latex particles, which can trigger severe allergic reactions. Disinfecting or using powdered latex items is unsafe for clients with latex sensitivity and should be avoided entirely.

C. Tape stockinet over monitoring devices and cords: Covering monitoring devices, cords, and other equipment with a barrier such as stockinet prevents direct contact with latex-containing components. This reduces the risk of an allergic reaction during surgery while allowing the necessary monitoring and functionality to continue safely.

D. Schedule the client as the last surgery of the day: While scheduling considerations may be made to reduce exposure to residual latex or disinfectants, the timing of surgery is not the primary strategy for preventing a reaction. The focus should be on removing or isolating all latex-containing items from the environment.

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Correct Answer is D

Explanation

Rationale:

A. Boiled eggs: While eggs contain some iron, the type is nonheme, and their consumption alone does not significantly enhance absorption. Eggs lack the vitamin C necessary to improve nonheme iron absorption from plant-based foods.

B. Cheddar cheese: Cheese contains minimal iron and is low in vitamin C. It does not aid in the absorption of nonheme iron and may actually inhibit iron absorption when consumed with iron-rich plant foods due to its high calcium content.

C. Mixed nuts: Nuts provide some nonheme iron, but they do not contain vitamin C to enhance absorption. Consuming nuts alone will not improve bioavailability of iron in a vegetarian diet.

D. Orange slices: Vitamin C in oranges significantly enhances the absorption of nonheme iron from plant-based foods by converting it into a more absorbable form. Including vitamin C-rich foods like oranges with meals helps increase iron uptake, which is particularly important for clients following vegetarian diets.

A. "Why did you start drinking alcohol?" B. "Does anyone else in your family have a drinking problem?" C. "How old were you when you started to drink alcohol?" D. "How often do you drink alcohol?”

Correct Answer is D

Explanation

Rationale:

A. "Why did you start drinking alcohol?": This question explores motivations or personal history but is not part of the standardized Alcohol Use Disorders Identification Test (AUDIT). The AUDIT focuses on quantity, frequency, and consequences of alcohol use rather than reasons for drinking.

B. "Does anyone else in your family have a drinking problem?": Family history of alcohol use may be relevant for overall assessment but is not included in the AUDIT, which is designed to screen the client’s own drinking behaviors and risks.

C. "How old were you when you started to drink alcohol?": Age of initiation provides background information but is not a question within the AUDIT. The test is concerned with current patterns and consequences of alcohol consumption.

D. "How often do you drink alcohol?": This question is a standard component of the AUDIT and assesses the frequency of alcohol consumption. It helps identify patterns of use and potential risk for alcohol-related problems, making it appropriate for inclusion in the screening.

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A nurse in a surgical suite is planning care for a client who requires surgery and has a latex sensitivity. Which of the following strategies is appropriate for this client?

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