The nurse is caring for a client who reports experiencing oral itching and swelling after consuming bananas and kiwis. Which allergy should the nurse suspect the client is at risk for?

Shellfish

Latex

Contrast dye

Iodine

Answer and Explanation

The Correct Answer is B

A.   Shellfish allergy is not commonly linked to bananas and kiwis.
B.   A latex allergy is associated with cross-reactivity to certain foods, including bananas, kiwis, avocados, and chestnuts, due to similar proteins.
C.   Contrast dye allergy is not commonly linked to bananas and kiwis.
D. Iodine allergies are not commonly linked to bananas and kiwis.

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Correct Answer is ["B","C"]

Explanation

A. The presence of a cough is expected as a protective reflex and does not delay transfer.

B. The absence of a gag reflex increases the risk of aspiration, delaying safe transfer.

C. A respiratory rate of 6 breaths per minute indicates respiratory depression, which requires immediate intervention.

D. Urine output of 90 mL/hour is within the expected range and does not delay transfer.

E. A heart rate of 70 beats per minute is normal and not a contraindication for transfer.

F. Capillary refill less than 3 seconds is normal and does not delay the transfer.

A. Cover the bowel with wet sterile gauze B. Assist the client into a low-Fowler's position with knees flexed C. Assist the client into a side-lying position with knees flexed D. Retrieve the crash cart from the nursing station E. Call for assistance F. Measure the client's inspiratory volume via incentive spirometer

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

Explanation

A: Covering the bowel with sterile gauze moistened with saline protects the exposed tissue and prevents it from drying out.

B: A low-Fowler's position with knees flexed reduces strain on the abdomen and minimizes further protrusion.

C: A side-lying position does not relieve strain on the abdominal incision as effectively as a low-Fowler’s position.

D: Retrieving the crash cart is unnecessary unless there is evidence of impending cardiopulmonary arrest.

E: Calling for assistance is essential to notify the surgical or medical team promptly.

F: Measuring inspiratory volume is irrelevant in this scenario and delays appropriate intervention.

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The nurse is caring for a client who reports experiencing oral itching and swelling after consuming bananas and kiwis. Which allergy should the nurse suspect the client is at risk for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to transfer a client from the post-anesthesia care unit (PACU). Which assessment findings would delay the transfer of the client? (Select All that Apply.)

Correct Answer is ["B","C"]

Explanation

The nurse is caring for a client in the immediate post-operative period. On assessment, the nurse notes the client's bowels are protruding from the abdominal incision. Which intervention(s) by the nurse are most appropriate at this time? (Select All That Apply]

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

Explanation

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