A nurse is reviewing the medical record of a toddler who is scheduled for surgery. Which of the following information should the nurse recognize as a potential risk for a latex allergy?

Suspected autism spectrum disorder

Diagnosis of hypospadias

History of spina bifida

Previous cleft palate repair

Answer and Explanation

The Correct Answer is C

A. Autism spectrum disorder is not directly associated with an increased risk for latex allergies.

B. Hypospadias may be linked to other congenital issues but is not commonly associated with latex allergies.

C. Children with a history of spina bifida are at higher risk for a latex allergy due to repeated exposure to latex-containing medical products.

D. Previous cleft palate repair is not a known risk factor for latex allergies.

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Correct Answer is ["A","B","E"]

Explanation

A. Monitoring oxygen saturation is important to assess respiratory status, as epiglottitis can cause airway obstruction.

B. Droplet precautions are required for Haemophilus influenzae type B to prevent transmission.

C. Inspecting the epiglottis is contraindicated as it can trigger airway spasm and worsen obstruction.

D. A throat culture is not appropriate in a child with suspected epiglottitis due to the risk of airway obstruction. The diagnosis is typically confirmed through other methods, such as imaging.

E. IV access should be established to provide fluids and medications, especially if the child requires emergency interventions.

A. Platelet count 98,000/mm3 (150,000 to 400,000/mm3) B. WBC count 15,000/mm3 (5,000 to 10,000/mm3) C. RBC count 5/mm3 (4 to 5.5/mm3) D. Hemoglobin 6.8 g/dL (9.5 to 14 g/dL)

Correct Answer is B

Explanation

A. A platelet count of 98,000/mm3 is below the normal range, indicating thrombocytopenia, which is common in leukemia but not indicative of therapeutic response.

B. A WBC count of 15,000/mm3 (normal range 5,000 to 10,000/mm3) suggests that the child’s immune system is responding to the treatment and may be recovering from leukopenia, a common result of chemotherapy for acute lymphoblastic leukemia.

C. A normal RBC count (5/mm3) would not be therapeutic for leukemia, which typically leads to anemia.

D. A hemoglobin level of 6.8 g/dL is low, indicating anemia, which is common in leukemia and its treatment but is not an indication of therapeutic effect.

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A nurse is reviewing the medical record of a toddler who is scheduled for surgery. Which of the following information should the nurse recognize as a potential risk for a latex allergy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?

Correct Answer is B

Explanation

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