A nurse is assessing a preoperative client for allergies. Which of the following client statements would the nurse identify as a risk for an allergy to latex?

"I have trouble urinating if I eat acidic foods."

"I often have diarrhea after eating scrambled eggs."

"I sometimes start to wheeze when I eat peanuts."

"I break out in a rash when I eat strawberries."

Answer and Explanation

The Correct Answer is D

A. "I have trouble urinating if I eat acidic foods.": Difficulty urinating after consuming acidic foods is not associated with latex allergy. This symptom may be related to bladder irritation or interstitial cystitis rather than an immune response to latex-related proteins.

B. "I often have diarrhea after eating scrambled eggs.": Diarrhea after consuming eggs suggests a food intolerance or an allergy to egg proteins. However, egg allergy is not linked to an increased risk of latex allergy.

C. "I sometimes start to wheeze when I eat peanuts.": Wheezing after peanut consumption suggests a peanut allergy, which is not directly associated with latex allergy. However, individuals with multiple allergies may be at higher risk for allergic reactions in general.

D. "I break out in a rash when I eat strawberries.": A history of allergic reactions to strawberries suggests a possible latex-fruit syndrome. Certain fruits, such as strawberries, bananas, avocados, and kiwis, contain proteins similar to those found in latex, increasing the risk of latex hypersensitivity.

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Correct Answer is ["A","D","E","G"]

Explanation

Pain level: The client's reported pain level decreased from 7 to 5 after receiving nitroglycerin and oxygen therapy. A reduction in pain indicates that the treatment is effective and the client's condition is improving.
Heart rate: The heart rate decreased from 120/min to 100/min between assessments, suggesting improved cardiac function and stability. A lower heart rate can indicate a better response to treatment and improved hemodynamic status.
Blood pressure: The blood pressure improved from 176/82 mm Hg to 110/62 mm Hg, indicating a more stable hemodynamic status. However, it is important to ensure that the blood pressure does not drop too low; overall, the trend suggests an improvement in circulation.
Oxygenation saturation: The oxygen saturation improved from 89% on room air to 93% after oxygen therapy was initiated. An increase in oxygen saturation indicates improved respiratory function and effective oxygenation, which is critical for recovery in clients with cardiac issues.

Urinary output: There is no documented information regarding the client's urinary output in the provided data, making it difficult to assess improvement in this area. Monitoring urinary output is essential for evaluating kidney function and fluid balance, but it cannot be determined from the available information.
Echocardiogram results: The echocardiogram results indicated a myocardial infarction, which does not show improvement but rather confirms the severity of the client's condition. While treatment may address the effects of the infarction, the diagnosis itself indicates ongoing concern.
Respiratory rate: The respiratory rate remained at 22/min, which is still elevated. While it is unchanged, an improvement would typically be reflected by a decrease in the respiratory rate, indicating better respiratory status. The persistent elevated rate suggests that further monitoring and interventions may still be needed.

A. Reduced cravings B. Somnolence C. Euphoria D. Dilated pupils

Correct Answer is A

Explanation

A. Reduced cravings: Methadone is a long-acting opioid agonist that helps suppress cravings and withdrawal symptoms in individuals with opioid use disorder. By stabilizing opioid levels in the body, it prevents the compulsive drug-seeking behavior associated with addiction.

B. Somnolence: While methadone can cause sedation, excessive drowsiness is not a therapeutic effect but rather a side effect that may indicate the need for dose adjustment. Therapeutic use should allow normal functioning without excessive sedation.

C. Euphoria: Unlike short-acting opioids, methadone is formulated to prevent euphoria when taken at prescribed doses. Experiencing euphoria may indicate misuse or an excessively high dose rather than a therapeutic response.

D. Dilated pupils: Methadone, as an opioid agonist, typically causes pupil constriction (miosis) rather than dilation. Dilated pupils may indicate withdrawal or intoxication with other substances rather than therapeutic effects of methadone.

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A nurse is assessing a preoperative client for allergies. Which of the following client statements would the nurse identify as a risk for an allergy to latex?

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Naxlex Comprehensive Predictor Exams

The nurse is reviewing the client's medical record. The nurse is reviewing the client's medical record. Which of the following findings indicates the client's condition has improved? Select all that apply.

Correct Answer is ["A","D","E","G"]

Explanation

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Correct Answer is A

Explanation

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