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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Correct Answer is D

Explanation

A. "Let's focus on something positive and not discuss the fire today." This response is dismissive and invalidates the client's feelings and experiences.
B. "I think you should move in with your parents temporarily." This response is prescriptive and assumes that the nurse knows what is best for the client without understanding her specific needs and circumstances.
C. "I don't believe that you will experience long-term effects from this." This response minimizes the client's potential trauma and does not acknowledge the serious impact such an event can have.
D. "Tell me how I can best help you right now." This response is empathetic and client-centered, allowing the client to express her needs and feel supported.

A. Consume at least 60 g of protein daily. B. Limit each meal size to 1.5 cups (12 oz) after 2 weeks. C. Use a straw to sip liquids the first day after surgery. D. Drink 4 oz of high-calorie liquids immediately before and after meals.

Correct Answer is A

Explanation

A. Consume at least 60 g of protein daily. Adequate protein intake is crucial for healing and maintaining muscle mass after bariatric surgery.
B. Limit each meal size to 1.5 cups (12 oz) after 2 weeks. Post-bariatric surgery, meal sizes should be much smaller to prevent overstretching the stomach pouch.
C. Use a straw to sip liquids the first day after surgery. Using a straw can introduce air and cause discomfort; it is generally not recommended.
D. Drink 4 oz of high-calorie liquids immediately before and after meals. High-calorie liquids should be avoided to prevent dumping syndrome and ensure nutrient-dense food intake.

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