A nurse is assessing a preoperative client for allergies. Which of the following client statements would the nurse identify as a risk for an allergy to latex?
"I have trouble urinating if I eat acidic foods."
"I often have diarrhea after eating scrambled eggs."
"I sometimes start to wheeze when I eat peanuts."
"I break out in a rash when I eat strawberries."
The Correct Answer is D
A. "I have trouble urinating if I eat acidic foods.": Difficulty urinating after consuming acidic foods is not associated with latex allergy. This symptom may be related to bladder irritation or interstitial cystitis rather than an immune response to latex-related proteins.
B. "I often have diarrhea after eating scrambled eggs.": Diarrhea after consuming eggs suggests a food intolerance or an allergy to egg proteins. However, egg allergy is not linked to an increased risk of latex allergy.
C. "I sometimes start to wheeze when I eat peanuts.": Wheezing after peanut consumption suggests a peanut allergy, which is not directly associated with latex allergy. However, individuals with multiple allergies may be at higher risk for allergic reactions in general.
D. "I break out in a rash when I eat strawberries.": A history of allergic reactions to strawberries suggests a possible latex-fruit syndrome. Certain fruits, such as strawberries, bananas, avocados, and kiwis, contain proteins similar to those found in latex, increasing the risk of latex hypersensitivity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}
Explanation
Anticipated:
• Administer an iron supplement.
• Refer for a nutritional consult.
Nonessential:
• Place the client on a low sodium diet.
Contraindicated:
• Restrict fluid intake.
Rationale:
• Administer an iron supplement: The client has iron deficiency anemia, indicated by low hemoglobin, hematocrit, RBC count, and ferritin levels. Iron supplementation is essential for replenishing iron stores and improving oxygen-carrying capacity.
• Refer for a nutritional consult: The client follows a vegan diet, which increases the risk of iron and vitamin B12 deficiencies. A nutritionist can provide dietary guidance to improve iron and vitamin intake through plant-based sources or supplementation.
• Place the client on a low sodium diet: Sodium restriction is typically necessary for conditions like hypertension, heart failure, or renal disease. There is no indication that
Correct Answer is C
Explanation
A. Genital herpes: Herpes simplex virus (HSV) is a common sexually transmitted infection, but it is not a nationally notifiable disease. Reporting is not mandatory in most jurisdictions, although counseling and partner notification are recommended.
B. Varicella zoster: Chickenpox (primary varicella infection) is reportable in some states, but herpes zoster (shingles) is generally not required to be reported. However, outbreaks in certain settings, such as schools or healthcare facilities, may need notification.
C. Tuberculosis: Tuberculosis is a highly contagious airborne disease that requires mandatory reporting to public health authorities. Reporting ensures contact tracing, outbreak control, and public health interventions to prevent further transmission.
D. Clostridium difficile: While Clostridium difficile infections are of significant concern in healthcare settings, they are not universally reportable to the local health department. Infection control measures are implemented within facilities, but routine reporting is not always required.
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