A child with a myelomeningocele has a latex allergy. Which product found in the community should not be used by this child?
1. T-shirt appliqués
2. Mylar balloons
3. Elmer's school glue
4. Play dough
1
Rationale:
1. T-shirt appliqués and other clothing appliqués could contain latex, and should be avoided.
2. Mylar balloons are latex-free.
3. Elmer's school glue is latex-free.
4. Play dough is latex-free.
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To decrease the risk for falls, the nurse holds frequent in-services to ensure that staff has competent skills for:
a. bathing. b. feeding. c. transferring. d. ambulating.
The nurse is assessing the client's cardiorespiratory system. Which tool will the nurse require to perform these examinations?
1. Stethoscope 2. Percussion hammer 3. Nasal speculum 4. Lubricant
To plan effective care for clients with somatoform disorders, the nurse must understand that the
clients may have difficulty giving up the symptoms because they a. are generally ego dystonic. b. can be voluntarily controlled. c. provide relief of anxiety. d. have a physiological basis.
The nurse is caring for a hospitalized older patient who has nasal packing in place to treat a nosebleed. Which assessment finding will require the most immediate action by the nurse?
a. The oxygen saturation is 89%. b. The nose appears red and swollen. c. The patient's temperature is 100.1° F (37.8° C). d. The patient complains of level 8 (0 to 10 scale) pain.