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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Free Nursing Study Resources

Correct Answer is ["C","D","E"]

Explanation

Rationale:

A. Osteoarthritis: Osteoarthritis primarily affects joints and mobility and does not directly increase the risk of developing heart failure. While limited activity could indirectly affect cardiovascular health, it is not considered a primary risk factor.

B. Hypotension: Low blood pressure reduces cardiac workload and is generally not a risk factor for heart failure. In fact, chronic hypotension is less likely to contribute to the pathophysiology of heart failure compared with hypertension.

C. Diabetes mellitus: Diabetes contributes to heart failure risk through mechanisms such as accelerated atherosclerosis, myocardial fibrosis, and microvascular damage. Hyperglycemia and insulin resistance increase the likelihood of developing cardiac dysfunction over time.

D. Alcohol use disorder: Chronic excessive alcohol intake can lead to alcoholic cardiomyopathy, which weakens the heart muscle and increases the risk of developing heart failure. It also contributes to hypertension and arrhythmias, further elevating risk.

E. Sleep apnea: Obstructive sleep apnea causes intermittent hypoxia, sympathetic nervous system activation, and increased cardiac workload. These changes increase the risk of developing hypertension, left ventricular hypertrophy, and eventually heart failure.

A. The client takes a hot bubble bath every day. B. The client washes her perineum first when bathing. C. The client brushes her teeth twice daily. D. The client wipes back to front when toileting

Correct Answer is C

Explanation

Rationale:

A. The client takes a hot bubble bath every day: Frequent hot bubble baths can irritate the skin and mucous membranes, potentially increasing the risk of infections. Daily bathing is acceptable, but water should be warm rather than hot, and bubble baths should be limited.

B. The client washes her perineum first when bathing: Proper hygiene involves washing from front to back to prevent transferring bacteria from the rectal area to the urethra or vagina. Washing the perineum first without this technique increases the risk of urinary tract infections.

C. The client brushes her teeth twice daily: Brushing teeth twice daily is an appropriate and effective oral hygiene practice. It helps prevent dental plaque, cavities, and gum disease, indicating correct understanding of personal hygiene.

D. The client wipes back to front when toileting: Wiping back to front can transfer fecal bacteria to the urethra and genital area, increasing the risk of urinary tract infections. The correct technique is front to back.

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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?

Nursing Test Bank

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