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.

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is A,D,C,B,E

Explanation

Place the client in a lying position. This step ensures that the client is in a stable and safe position before applying the restraint.
Assist the client to a sitting position. Once the client is stable, assisting them to a sitting position ensures that they are comfortably positioned for restraint application.
Apply the belt at the client's waist over his clothing. Applying the belt over the clothing at the waist secures the client and prevents movement.
Thread the ties through the belt. Threading the ties through the belt ensures that the restraint is properly secured.
Attach restraint straps to the bedframe. Finally, attaching the restraint straps to the bedframe ensures that the restraint is firmly secured and the client cannot easily remove it.

A. "This document will ensure that my health care wishes remain confidential." B. "This document will tell others what care I want when I cannot speak for myself." C. "My attorney has to prepare this document for me." D. "My family can change the document if I become mentally incapacitated."

Correct Answer is B

Explanation

A. "This document will ensure that my health care wishes remain confidential." Advance directives are meant to be shared with healthcare providers and family members, not kept confidential.
B. "This document will tell others what care I want when I cannot speak for myself." This statement correctly reflects the purpose of advance health care directives.
C. "My attorney has to prepare this document for me." While an attorney can assist, the document can be prepared without one.
D. "My family can change the document if I become mentally incapacitated." The document cannot be changed by family members once the client is incapacitated.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A,D,C,B,E

Explanation

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Correct Answer is B

Explanation

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