Nokea
A nurse is preparing to administer an IV medication to a client who reports a latex allergy. Which of the following actions should the nurse take?
- A. Place the client in a supine position.
- B. Use non-latex gloves when administering the medication.
- C. Use latex-free syringes when administering the medication.
- D. Administer the medication through a latex-free IV port.
Correct Answer: D
Rationale: The correct action the nurse should take when preparing to administer an IV medication to a client with a latex allergy is to administer the medication through a latex-free IV port. This measure helps prevent allergic reactions in clients with a known latex allergy. Placing the client in a supine position (Choice A) is not directly related to preventing a latex allergy reaction. Using non-latex gloves (Choice B) is important for protecting the nurse or caregiver from latex exposure but does not prevent the client's allergic reaction. While using latex-free syringes (Choice C) is a good practice, ensuring the IV port is latex-free is more crucial in preventing an allergic response in the client.
You may also like to solve these questions
A nurse is reviewing the laboratory report of a client who has been taking lithium carbonate for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L. Which of the following orders from the provider should the nurse expect?
- A. Withhold the next dose
- B. Increase the dosage
- C. Discontinue the medication
- D. Administer the medication
Correct Answer: D
Rationale: The correct answer is to administer the medication (Choice D) since the lithium level of 0.8 mEq/L falls within the therapeutic range of 0.6-1.2 mEq/L. Withholding the next dose (Choice A) or increasing the dosage (Choice B) is not necessary as the current level is appropriate. Discontinuing the medication (Choice C) is not warranted based on the given lithium level. It is crucial to maintain therapeutic levels to ensure the medication's effectiveness without causing toxicity.
A client is 2 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take?
- A. Position the client supine with a pillow between the legs.
- B. Place an abduction pillow between the client's legs.
- C. Place a pillow under the client's knees.
- D. Position the client's legs in adduction.
Correct Answer: B
Rationale: After a total hip arthroplasty, it is crucial to prevent hip dislocation. Placing an abduction pillow between the client's legs helps maintain proper alignment of the hip joint and prevents adduction, which could lead to dislocation. Therefore, choice B is the correct action. Choice A is incorrect because positioning the client supine with a pillow between the legs does not provide the necessary abduction to prevent dislocation. Choice C, placing a pillow under the client's knees, does not address the need for abduction. Choice D, positioning the client's legs in adduction, is incorrect as adduction increases the risk of hip dislocation following hip arthroplasty.
A client is being taught about a new prescription for furosemide. Which of the following statements by the client indicates an understanding of the teaching?
- A. This medication will decrease my potassium levels.
- B. I should eat a banana every day to increase my potassium intake.
- C. I will stop taking this medication if I experience a cough.
- D. I should avoid drinking alcohol while taking this medication.
Correct Answer: D
Rationale: The correct answer is D. Clients taking furosemide should avoid alcohol because it can lead to dehydration and potential interactions with the medication. Choices A and B are incorrect because furosemide is a diuretic that can actually lower potassium levels, so the client should not expect an increase in potassium levels or solely rely on bananas for potassium intake. Choice C is incorrect because a cough is not a common side effect of furosemide and should not be a reason to stop taking the medication.
A client with a new diagnosis of type 1 diabetes mellitus is being taught by a nurse about insulin administration. Which of the following instructions should the nurse include?
- A. Store unopened vials of insulin in the refrigerator, not the freezer.
- B. Rotate injection sites within the same region to prevent tissue damage.
- C. Administer insulin at a 90-degree angle for subcutaneous injections.
- D. Avoid massaging the injection site after administering insulin.
Correct Answer: B
Rationale: The correct answer is to rotate injection sites within the same region to prevent tissue damage. By rotating sites, the client can prevent lipodystrophy, which is a condition characterized by the loss or change in body fat at the site of repeated injections. This practice also helps to ensure proper insulin absorption. Storing unopened vials of insulin in the refrigerator (Choice A) is correct, not in the freezer, as freezing can damage the insulin. Administering insulin at a 90-degree angle (Choice C) is more appropriate for subcutaneous injections, while a 45-degree angle is used for intramuscular injections. Massaging the injection site after administering insulin (Choice D) is not recommended as it can affect insulin absorption rates.
A client practicing Orthodox Judaism informs the nurse they are observing the Passover holiday. Which action should the nurse include in the plan of care?
- A. Provide chicken with cream sauce
- B. Avoid serving fish with fins and scales
- C. Provide unleavened bread
- D. Avoid serving foods containing lamb
Correct Answer: C
Rationale: During the Passover holiday, individuals practicing Orthodox Judaism follow dietary restrictions that include consuming unleavened bread. This symbolizes the haste with which the Israelites left Egypt and the lack of time for bread to rise. Providing chicken with cream sauce (Choice A) is not aligned with Passover dietary restrictions. Avoiding serving fish with fins and scales (Choice B) is a general dietary law in Judaism but not specific to Passover. Similarly, avoiding foods containing lamb (Choice D) is not a specific requirement during Passover.