While assisting in the care of a patient scheduled for a right mastectomy, the nurse learns the patient is allergic to shellfish. Which of the following precautions would be necessary during the patient's hospitalization?

a. Iodine-based skin preparations should be replaced with different bactericidal cleansers.
b. The patient should be placed in a private room.
c. The patient's allergy should be noted on the medical record and communicated clearly to all caretakers.
d. The kitchen should use dedicated equipment for all of the patient's food preparation.


ANS: C
C. It is important to clearly communicate patient allergies so necessary precautions can be taken. A. It is not necessary to exchange the povidone-iodine solution found in procedural kits for a non-iodine-based bactericidal cleanser. B. The patient does not need a private room. D. Shellfish is not a common ingredient in numerous foods, so dedicated equipment is not required.

Nursing

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The nurse should watch for which of the following side effects when clients are receiving NSAIDs, nonsteroidal anti-inflammatory drugs, for pain:

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Which action will the nurse include in the plan of care for a patient with right arm lymphedema?

a. Check blood pressure (BP) on both right and left arms. b. Avoid isometric exercise on the right arm. c. Assist with application of a compression sleeve. d. Keep the right arm at or below the level of the heart.

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Identify the child that is demonstrating acrocyanosis

1. A newborn shows slow capillary refill. 2. A newborn's hands are blue following delivery. 3. A newborn with a fever has red hands. 4. A newborn with a lack of oxygen has blue hands.

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