A nurse is reviewing the health history of a client who is scheduled for exploratory surgery. Which of the following food allergies indicates a risk for an allergic reaction to latex?

Strawberries

Eggs

Peanuts

Shellfish

Answer and Explanation

The Correct Answer is A

A. Strawberries are typically associated with cross-reactivity with latex
B. Eggs are not commonly associated with cross-reactivity with latex.
C. Peanuts are not typically associated with cross-reactivity with latex. Peanut allergy involves specific proteins found in peanuts and is unrelated to latex allergy.

D Shellfish is not associated with cross-sensitivity with latex

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"C"}}

Explanation

Alterations in level of consciousness is an indicator that the client is in septic shock due to systemic spread of the urinary tract infection

Hematocrit level is normal. Changes in hematocrit levels are not expected in UTI unless the client has hematuria.

A butterfly rash is commonly seen in autoimmune conditions like lupus.

The decrease in oxygen requirements indicates improvement in level of distress and hence improving sepsis

A drop in the systolic blood pressure may indicate that the client is going into septic shock

A. Administer oxygen to the client. B. Collect a urine sample. C. Stop the infusion. D. Check the client's vital signs.

Correct Answer is C

Explanation

C. Suspending the infusion of packed RBCs is essential to prevent further administration of the blood product that may be causing the adverse reaction. Stopping the infusion allows for further assessment and appropriate management of the client's symptoms.
A. The client's symptoms of chills, lower back pain, and nausea suggest a potential transfusion reaction rather than respiratory compromise.
B. Collecting a urine sample may be indicated to assess for hemolysis or kidney injury, which can occur as a result of a transfusion reaction. However, this action can be deferred until after immediate interventions to manage the suspected reaction.
D. While checking the client's vital signs is important in assessing the severity of the reaction and the client's overall condition, it is not the first action to take when a transfusion reaction is suspected.

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A nurse is reviewing the health history of a client who is scheduled for exploratory surgery. Which of the following food allergies indicates a risk for an allergic reaction to latex?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"C"}}

Explanation

A nurse is administering packed RBCs to a client. The client reports chills, lower back pain, and nausea 10 min after the infusion begins. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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