A nurse is reviewing the medical record of a toddler who is scheduled for surgery. Which of the following information should the nurse recognize as a potential risk for a latex allergy?

Suspected autism spectrum disorder

Diagnosis of hypospadias

History of spina bifida

Previous cleft palate repair

Answer and Explanation

The Correct Answer is C

A. Autism spectrum disorder is not directly associated with an increased risk for latex allergies.

B. Hypospadias may be linked to other congenital issues but is not commonly associated with latex allergies.

C. Children with a history of spina bifida are at higher risk for a latex allergy due to repeated exposure to latex-containing medical products.

D. Previous cleft palate repair is not a known risk factor for latex allergies.

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Correct Answer is A

Explanation

A. Applying a topical anesthetic cream 1 hour prior to the procedure can help reduce pain and discomfort during venipuncture, ensuring atraumatic care for the child.

B. The procedure should not be performed in the playroom, as it may cause distress to the child and create a negative association with that space.

C. The presence of a parent during the procedure can provide comfort and support to the child, reducing anxiety and fear.

D. Explaining the procedure in detail 3 hours prior may cause unnecessary anxiety. A brief, simple explanation right before the procedure is more appropriate for a 4-year-old.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

The nurse should first keep the child NPO followed by prepare the child for flexible endoscopy.

Rationale:

Keeping the child NPO is crucial to prevent further ingestion or aspiration of the battery, which could lead to serious complications. Preparing the child for flexible endoscopy is the second action to visualize and safely remove the battery from the esophagus. Teaching the child's parents the importance of inspecting the child's play area is important for future prevention but is not the immediate priority in this acute situation. Obtaining an informed consent is not the priority in this scenario. It should be done after keeping the child NPO. Encouraging parents to inspect toys for easily removable parts is important for prevention but is not the immediate priority when dealing with a child who has already ingested a foreign object. Waiting for return of the gag reflex without taking immediate action could delay potentially life-saving interventions.

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A nurse is reviewing the medical record of a toddler who is scheduled for surgery. Which of the following information should the nurse recognize as a potential risk for a latex allergy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform a venipuncture on a 4-year-old child. Which of the following actions should the nurse take to ensure atraumatic care?

Correct Answer is A

Explanation

A nurse in the emergency department is caring for a toddler. Exhibits Complete the following sentence by using the list of options. The nurse should first dropdown followed by dropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Explanation

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