A nurse is caring for a client who is suspected to have developed sensitivity to latex.
Which of the following interventions should the nurse plan to implement?
Use a disposable adhesive probe when measuring the client's SaO2
Wrap a blood pressure cuff in a stockinette for use in the client's room.
Document in the medical record that the client should not use silicone products.
Clean vial stoppers for 15 seconds before using them to withdraw-medications for the client.
The Correct Answer is B
Choice A rationale:
Using a disposable adhesive probe when measuring the client's SaO2 is not an intervention that can reduce the exposure of the client to latex, because adhesive probes may contain latex and cause skin reactions. A better option would be to use a non-adhesive probe or a probe cover that is latex-free.
Choice B rationale:
Rationale: Latex sensitivity or allergy can lead to adverse reactions when exposed to latex- containing products, such as blood pressure cuffs. Wrapping the blood pressure cuff in a stockinette helps minimize direct contact between the cuff and the client's skin.
Choice C rationale:
Silicone products are usually considered safe for individuals with latex sensitivity because silicone is a different material. Silicone products are generally safe for clients who are sensitive to latex, unless they have a separate allergy to silicone.
Choice D rationale:
Cleaning vial stoppers for 15 seconds before using them to withdraw-medications for the client is not an intervention that can reduce the exposure of the client to latex, because vial stoppers may be made of latex or rubber and cleaning them does not remove the allergen. A better option would be to use vials that have latex-free stoppers or to avoid puncturing the stoppers with needles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Palliative care is not limited to acute care settings and can be provided in various healthcare settings.
Choice B rationale:
While palliative care aims to improve overall well-being, it does not provide financial assistance.
Choice C rationale:
Palliative care focuses on providing relief from symptoms and improving the quality of life for individuals with serious illnesses, regardless of whether they are receiving curative treatments.
Choice D rationale:
Palliative care can be provided alongside curative treatments to address symptoms and enhance quality of life.
Correct Answer is C
Explanation
Choice A rationale:
A 64-year-old client taking estrogen supplements does not necessarily indicate a greater risk for infection compared to the other options.
Choice B rationale:
A 70-year-old client with COPD does not necessarily indicate a greater risk for infection compared to the other options.
Choice C rationale:
A 28-year-old client with a left arm fracture is at greater risk for infection due to the open wound and potential introduction of pathogens.
Choice D rationale:
A 53-year-old client with a thin build does not necessarily indicate a greater risk for infection compared to the other options.
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