A goal for children with spina bifida is to reduce the chance of allergy development. What is a priority nursing intervention?
a. Recommend allergy testing.
b. Provide a latex-free environment.
c. Use only powder-free latex gloves.
d. Limit use of latex products as much as possible.
ANS: B
A latex-free environment is the goal. This includes eliminating the use of latex gloves and other medical devices containing latex. Allergy testing would provide information about whether the allergy has developed. It will not reduce the chances of developing the allergy. Although powder-free latex gloves are less allergenic, latex should not be used. Limiting the use of latex products is one component of providing a latex-free environment, but latex products should not be used.
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The nurse is preparing a patient for an ECG. Which of the following should be done prior to electrode placement?
A) Cleaning the skin with povidone-iodine solution prior to applying the electrodes B) Ensuring that the area for electrode placement is dry C) Applying tincture of benzoin to the electrode sites and waiting for it to become "tacky" D) Abrading the skin by rubbing the electrode sites briskly with a rough surface such as a clean, dry gauze or washcloth
During the first year of life, neurons become myelinated following a certain sequence ending with which part of the body?
a. extremities c. neck b. head d. trunk
Prior to ambulating the client to the bathroom whose admission hemoglobin level was 10.2 g/dL, the nurse should:
a. request repeat hemoglobin and hematocrit. b. assess the resting pulse rate. c. dangle her on the side of the bed. d. administer the ordered oral analgesic.
The client who is scheduled for an open cholecystectomy is questioning why she must have an open surgery. The health care provider has already obtained informed consent from this client. The nurse responds with:
1. "There are cases where an open surgery is more beneficial to the client, such as an infected gallbladder or the need to explore the common bile duct. I can have your health care provider talk with you again if you have more specific questions.". 2. "Not everyone will qualify for a laparoscopic procedure due to their size. I will call your health care provider and tell her you want a laparoscopic procedure.". 3. "Some clients are not good candidates for laparoscopic procedures because they are afraid of anesthesia.". 4. "The health care provider needs to discuss this with you. I don't know why one surgery is chosen over another.".