A nurse is planning care for a client who is receiving intermittent IV fluids via a peripherally inserted central catheter (PICC). Which of the following information should the nurse include in the client's plan of care?

Rationale:
A. Place monitoring cords and tubes in a stockinette: Clients with latex allergies are at risk for serious reactions from contact with latex-containing equipment. Covering cords and tubing with a stockinette helps prevent direct skin exposure to latex, reducing the risk of an allergic reaction.

B. Schedule the client for the last surgery of the day: Clients with latex allergies should be scheduled as the first surgery of the day to minimize their exposure to airborne latex particles and reduce contamination from previously used equipment or surfaces.

C. Choose rubber injection ports for fluid administration: Rubber injection ports often contain latex, which can trigger severe allergic reactions. For clients with latex allergies, non-latex or latex-free alternatives must be used for all fluid and medication administration.

D. Have phenytoin IV readily available: Phenytoin is an anticonvulsant used to manage seizures and is not specifically indicated for treating allergic reactions. Epinephrine, antihistamines, and corticosteroids should be available in case of an anaphylactic reaction.

Rationale:
A. Administer vasopressin to the client: Vasopressin is used to constrict splanchnic circulation and reduce portal pressure, helping control variceal bleeding. However, medication administration requires functional IV access, which must be verified or established before proceeding.

B. Request blood from the blood bank: Blood transfusion is necessary to treat hemorrhagic shock and restore circulating volume, but requesting blood is not the immediate priority before ensuring access for administration.

C. Verify that the client has adequate IV access: Establishing or verifying large-bore IV access is the first priority in any client experiencing hemorrhagic shock. This enables the rapid infusion of fluids, blood products, and medications necessary to stabilize the client.

D. Insert an indwelling urinary catheter: Monitoring urine output is important for assessing renal perfusion and fluid status, but it is not the most urgent intervention when the client is actively bleeding and hemodynamically unstable.