What allergies should the nurse assess for before inserting a catheter in a patient? (Select all that apply)
Betadine
Shellfish
Latex
Silicone
Tape
Correct Answer : A,B,C,E
A. Betadine:
Betadine (povidone-iodine) is commonly used for cleansing the perineal area. Patients may have an allergy to iodine-based antiseptics.
B. Shellfish:
A shellfish allergy may indicate a sensitivity to iodine, which is found in Betadine. While this connection is debated, many protocols still recommend caution.
C. Latex:
Many catheters and gloves are made with latex, which can cause serious allergic reactions, including anaphylaxis.
D. Silicone:
Silicone is hypoallergenic and usually used for patients with latex allergies. True silicone allergies are rare.
E. Tape:
Tape is used to secure the catheter tubing. Some patients have adhesive allergies that can cause skin irritation or blisters.
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Related Questions
Correct Answer is D
Explanation
A. Throw the catheter away and begin again:
While starting again is necessary, this choice omits using the first catheter as a landmark, which helps prevent repeated misplacement.
B. Fill the balloon with the recommended sterile water:
The balloon should never be inflated unless urine flow is observed, confirming placement in the bladder.
C. Remove the catheter, wipe with alcohol, and reinsert after lubrication:
Once contaminated, the catheter must not be reused. Alcohol cleaning does not sterilize it.
D. Leave the catheter in the vagina as a landmark for insertion of a new, sterile catheter:
This is the correct nursing action. It prevents repeated misplacement by using the misplaced catheter as a guide.
Correct Answer is B
Explanation
A. Obtain an alcohol swab, remove the blood with an alcohol swab, and continue care:
While alcohol can disinfect, the first-line step is to wash thoroughly with soap and water.
B. Immediately wash the site with soap and running water, and seek guidance from the manager:
First wash the site, then report and follow exposure protocols.
C. Do nothing; accidentally getting splashed with blood happens frequently and is part of the job:
This is negligent and dangerous. All exposures must be treated seriously due to risk of transmission.
D. Delay washing of the site until the nurse is finished providing care to the patient:
Delaying increase es the risk of pathogen absorption. Washing must be immediate.
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