While obtaining a health history from a patient, the nurse learns that the patient has a history of allergic rhinitis and multiple food allergies. Which action by the nurse is most appropriate?
a. Encourage the patient to carry an epinephrine kit in case a type IV allergic reaction to latex develops.
b. Advise the patient to use oil-based hand creams to decrease contact with natural proteins in latex gloves.
c. Document the patient's allergy history and be alert for any clinical manifestations of a type I latex allergy.
d. Recommend that the patient use vinyl gloves instead of latex gloves in preventing blood-borne pathogen contact.
ANS: C
The patient's allergy history and occupation indicate a risk of developing a latex allergy. The nurse should be prepared to manage any symptoms that may occur. Epinephrine is not an appropriate treatment for contact dermatitis that is caused by a type IV allergic reaction to latex. Oil-based creams will increase the exposure to latex from latex gloves. Vinyl gloves are appropriate to use when exposure to body fluids is unlikely.
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