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 B
Explanation
Choice A rationale
Positioning the head of the patient’s bed flat is not typically recommended after a laryngectomy. Instead, the head of the bed is often elevated to help reduce swelling and improve breathing.
Choice B rationale
Providing the patient with humidified air can help keep the airway moist and reduce discomfort, making it a common practice after a laryngectomy.
Choice C rationale
While keeping the surgical site clean is important, cleaning the patient’s sutures every 8 hours is not a standard recommendation and may vary based on the surgeon’s instructions.
Choice D rationale
Suctioning the patient’s mouth on the side of the surgery is not typically recommended as it could potentially disrupt the surgical site.
Correct Answer is ["7"]
Explanation
The nurse is preparing to administer amoxicillin 350 mg orally. The available amoxicillin is 250 mg per 5 mL.
Step 1: To find out how many mL the nurse should administer, we need to set up a proportion to calculate the dosage. The proportion is set up as follows: 350 mg (desired dose) : X mL (unknown quantity) = 250 mg (available dose) : 5 mL (known quantity)
Step 2: Cross-multiply to solve for X: 350 mg * 5 mL = 250 mg * X mL Step 3: Simplify the equation: 1750 mgmL = 250X mgmL Step 4: Divide both sides by 250 mg to solve for X: X = 1750 mg*mL ÷ 250 mg = 7 mL.So, the nurse should administer 7 mL of amoxicillin.
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