2100 hrs - Critical Incident
A nurse is providing discharge teaching to a client recently diagnosed with a latex allergy. Which of the following client statements indicates a need for further teaching?
"I will apply elastic bandages to cuts."
"I will use dishwashing gloves when cleaning the dishes."
"I will use ink pens for writing."
"I will buy balloons for my son's birthday."
None
None
The Correct Answer is D
Choice A rationale:
Elastic bandages can contain latex, which could potentially cause an allergic reaction. However, latex-free alternatives are available. The client should be advised to specifically look for latex-free bandages. This statement indicates a need for further teaching because using standard elastic bandages might expose the client to latex.
Choice B rationale:
Many dishwashing gloves are made from latex, but there are latex-free alternatives available. The client should be instructed to use latex-free gloves to avoid latex exposure. This statement indicates a need for further teaching as the client might choose latex gloves unintentionally.
Choice C rationale:
Most ink pens do not contain latex. Therefore, using ink pens is generally safe for individuals with latex allergies. This statement does not indicate a need for further teaching.
Choice D rationale:
Balloon latex is a common allergen, and exposure to latex balloons can trigger an allergic reaction in individuals with latex allergies. This statement indicates a need for further teaching because the client should avoid latex balloons and opt for latex-free alternatives to prevent allergic reactions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["4"]
Explanation
Step 1 is: Identify the dose ordered and the dose available. The dose ordered is 40 mg and the dose available is 10 mg/mL.
Step 2 is: Set up the equation to calculate the volume to administer: (40 mg ÷ 10 mg/mL) = 4 mL.
So, the nurse should administer 4 mL per dose.
Correct Answer is ["2"]
Explanation
Step 1: Determine the amount of medication needed. The order is for 20 mEq of potassium chloride. The available amount is 10 mEq/mL.
Step 2: Calculate the volume of medication to administer. Volume = Ordered dose ÷ Available concentration Volume = 20 mEq ÷ 10 mEq/mL = 2 mL So, the nurse should administer 2 mL of potassium chloride suspension.
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