A nurse is developing a plan of care for a client who has a latex allergy and is to undergo surgery. Which of the following interventions should the nurse include in the plan?
Place an alert sign on the door of the operating room.
Provide powdered gloves for operating room staff.
Use multidose vials that have rubber medication stoppers.
Remove stopcocks from IV tubing.
The Correct Answer is A
A. Place an alert sign on the door of the operating room. Alerting all staff to the client's latex allergy is crucial to ensure that no latex-containing materials are used during the procedure.
B. Provide powdered gloves for operating room staff. Powdered gloves often contain latex and can increase the risk of latex exposure. Non-latex, powder-free gloves should be used.
C. Use multidose vials that have rubber medication stoppers. Multidose vials with rubber stoppers can contain latex, which poses a risk to the client. Single-dose vials or vials with latex-free stoppers should be used.
D. Remove stopcocks from IV tubing. Stopcocks are not a common source of latex. The focus should be on avoiding latex-containing materials and ensuring all staff are aware of the allergy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
To calculate the BMI:
- Convert weight to kilograms: 90 kg (198 lb)
- Convert height to meters: 160 cm = 1.6 m
- Use the BMI formula: BMI = weight (kg) / height (m)^2
BMI = 90 / (1.6)^2 BMI = 90 / 2.56 BMI ≈ 35.2
A. Overweight: Overweight is typically classified with a BMI from 25 to 29.9. This BMI is higher.
B. Extremely obese: The term "extremely obese" is not commonly used. The classification for a BMI above 40 would be "extremely obese."
C. Normal: A normal BMI ranges from 18.5 to 24.9. The calculated BMI is higher than this range.
D. Obese: A BMI of 35.2 falls into the category of obesity (30 to 39.9).
Correct Answer is B
Explanation
A. Teach the client to strain when having a bowel movement. Straining can cause harm and is not recommended.
B. Encourage the client to drink a hot beverage just before she needs to defecate. A hot beverage can stimulate bowel movements and help establish a routine.
C. Allow the client to sit on the toilet for 1 hr to defecate. Prolonged sitting can cause discomfort and is not practical.
D. Limit exercise for the client while she is on the bowel training program. Exercise is beneficial for overall health and can promote regular bowel movements.
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