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."

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Applying a vest restraint daily at bedtime is inappropriate because restraints should only be used as a last resort when other interventions have failed. Restraints must be ordered based on ongoing assessment rather than routine use, as they pose risks such as impaired circulation, skin breakdown, and decreased mobility.

B. Soft heel protectors help prevent pressure injuries and provide cushioning for clients at risk of skin breakdown. They are a non-restrictive intervention and do not require verification with the provider.

C. An abduction pillow helps maintain proper hip alignment and prevents dislocation in clients following hip surgery. This is a standard postoperative intervention that does not require additional verification.

D. Mitten restraints are a less restrictive alternative to wrist restraints and may be used to prevent a client from interfering with medical devices. However, their use still requires a provider's order and close monitoring to ensure patient safety.

A. "The surgeon will make a small incision in your abdomen." B. "You may experience referred shoulder pain." C. "Your procedure will be scheduled during menstruation." D. "Warm saline will be instilled via the cervix."

Correct Answer is B

Explanation

A. "The surgeon will make a small incision in your abdomen.": A hysterosalpingography is a fluoroscopic imaging procedure that does not require surgical incisions. Contrast dye is injected through the cervix to visualize the uterus and fallopian tubes.

B. "You may experience referred shoulder pain.": Referred shoulder pain is a common side effect due to peritoneal irritation caused by the contrast dye if it spills into the peritoneal cavity, particularly when the fallopian tubes are patent. This discomfort is temporary and resolves on its own.

C. "Your procedure will be scheduled during menstruation.": The test is typically scheduled after menstruation but before ovulation (days 7-10 of the cycle) to ensure the uterus is clear of blood and to avoid disrupting an early pregnancy.

D. "Warm saline will be instilled via the cervix.": Hysterosalpingography uses iodine-based contrast dye for X-ray imaging, not warm saline. Saline infusion is used in sonohysterography, which is an ultrasound-based procedure.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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