A nurse is caring for a client who is suspected to have developed sensitivity to latex.
Which of the following interventions should the nurse plan to implement?
Use a disposable adhesive probe when measuring the client's SaO2
Wrap a blood pressure cuff in a stockinette for use in the client's room.
Document in the medical record that the client should not use silicone products.
Clean vial stoppers for 15 seconds before using them to withdraw-medications for the client.
The Correct Answer is B
Choice A rationale:
Using a disposable adhesive probe when measuring the client's SaO2 is not an intervention that can reduce the exposure of the client to latex, because adhesive probes may contain latex and cause skin reactions. A better option would be to use a non-adhesive probe or a probe cover that is latex-free.
Choice B rationale:
Rationale: Latex sensitivity or allergy can lead to adverse reactions when exposed to latex- containing products, such as blood pressure cuffs. Wrapping the blood pressure cuff in a stockinette helps minimize direct contact between the cuff and the client's skin.
Choice C rationale:
Silicone products are usually considered safe for individuals with latex sensitivity because silicone is a different material. Silicone products are generally safe for clients who are sensitive to latex, unless they have a separate allergy to silicone.
Choice D rationale:
Cleaning vial stoppers for 15 seconds before using them to withdraw-medications for the client is not an intervention that can reduce the exposure of the client to latex, because vial stoppers may be made of latex or rubber and cleaning them does not remove the allergen. A better option would be to use vials that have latex-free stoppers or to avoid puncturing the stoppers with needles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Frequent cervical examinations may increase the risk of introducing infection or causing additional bleeding. Cervical examinations are not a priority in managing placental abruption.
Choice B rationale:
Placental abruption can lead to significant blood loss, and the client may require intravenous fluids and blood products to maintain hemodynamic stability. Initiating an IV with an 18-gauge catheter allows for rapid administration of fluids and blood products if needed.
Choice C rationale:
Monitoring fetal heart rate hourly is important, but addressing the mother's hemodynamic stability with IV fluids takes priority.
Choice D rationale:
Vital signs should be obtained more frequently than every 4 hours due to the risk of ongoing blood loss.
Correct Answer is A
Explanation
Choice A rationale:
Warm water can help soothe the lesions and decrease painful urination, providing relief to the client.
Choice B rationale:
The client with genital herpes can still shed the virus and potentially transmit it to others even when there are no visible lesions, so this statement is incorrect.
Choice C rationale:
Genital herpes is a viral infection, and antibiotics are not effective in treating viral infections. Antiviral medications are used to manage genital herpes outbreaks.
Choice D rationale:
Soaking in a bubble bath can potentially irritate the lesions and worsen discomfort. It is not recommended for individuals with genital herpes.
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