A nurse is teaching a client who has a newly documented latex allergy. Which of the following statements by the client indicates an understanding of the teaching?

I will remove gluten from my diet.

I will remove peanuts from my diet.

I will avoid bananas.

I will avoid dairy products.

Answer and Explanation

The Correct Answer is C

Choice A reason: Gluten removal is unrelated to latex allergy, which involves immune responses to latex proteins. Gluten pertains to celiac disease, not latex-fruit syndrome. Avoiding gluten does not prevent allergic reactions to latex, making this an incorrect understanding of latex allergy management.
Choice B reason: Peanuts are linked to peanut allergies, not latex. Latex allergy involves IgE-mediated reactions to rubber proteins, not peanut proteins. While allergies may coexist, peanuts lack cross-reactivity with latex, making avoidance irrelevant for managing latex allergy symptoms or risks.
Choice C reason: Avoiding bananas is correct due to latex-fruit syndrome, where latex proteins cross-react with banana proteins like chitinases, causing allergic reactions (e.g., itching, anaphylaxis). This understanding ensures clients avoid trigger foods, reducing risk of allergic responses in latex-sensitive individuals.
Choice D reason: Dairy products are not linked to latex allergy, as they lack cross-reactive proteins. Latex reactions stem from exposure to rubber or related plant proteins, not milk. Avoidance is unnecessary, as dairy does not trigger the immunological responses associated with latex allergy.

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Correct Answer is D

Explanation

Choice A reason: A client with a sealed radiation implant requires strict precautions and monitoring to prevent radiation exposure to others. Early discharge is unsafe due to ongoing treatment needs, so this client is not suitable, making this incorrect.
Choice B reason: A COPD client with a respiratory rate of 24 breaths/min indicates potential instability, requiring monitoring for exacerbation. Early discharge risks decompensation without ensured stability, so this client is not appropriate, making this incorrect.
Choice C reason: A client receiving heparin for DVT needs continuous anticoagulation and monitoring to prevent embolism. Discharging early risks clotting complications, so this client requires ongoing hospital care, making this incorrect for early discharge.
Choice D reason: A client 1 day post-cholecystectomy, if stable, is often ready for discharge, as this surgery is routine with quick recovery. Freeing this bed supports disaster response, aligning with triage principles, making this the correct choice.

A. Attach the restraint to the bed’s movable side rails. B. Document the client’s condition every 15 minutes. C. Request a PRN restraint prescription for clients who are aggressive. D. Apply restraints over the client’s clothing.

Correct Answer is B

Explanation

Choice A reason: Attaching restraints to movable side rails is unsafe, as rail movement can cause injury or loosen restraints. They should be secured to the bed frame, a fixed structure, so this guideline is incorrect and dangerous for restraint protocols.
Choice B reason: Documenting the client’s condition every 15 minutes ensures frequent monitoring for safety, circulation, and skin integrity, per CMS and Joint Commission standards. This prevents complications and supports timely restraint removal, making it the correct guideline.
Choice C reason: Requesting PRN restraint prescriptions is inappropriate, as restraints require specific, time-limited orders based on immediate need. PRN orders lack oversight and risk misuse, so this guideline is incorrect and non-compliant with regulations.
Choice D reason: Applying restraints over clothing can cause discomfort or skin irritation, as direct skin contact with padding is preferred for safety. This guideline is incorrect, as proper application minimizes harm, making it inappropriate for protocols.

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A nurse is teaching a client who has a newly documented latex allergy. Which of the following statements by the client indicates an understanding of the teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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