The nurse in the emergency department is allergic

Extract:

Question 1 of 5

The nurse in the emergency department is allergic to latex. Which intervention should the nurse implement regarding the use of nonsterile gloves?

A. Use only sterile, nonlatex gloves for any procedure requiring gloves. B. Do not use gloves when starting an IV or performing a procedure. C. Keep a pair of nonsterile, nonlatex gloves in the pocket of the uniform. D. Wear white cotton gloves at all times to protect the hands.

Correct Answer: C

Rationale: Carrying nonsterile, nonlatex gloves ensures safe practice for a latex-allergic nurse. Sterile gloves are unnecessary, avoiding gloves risks infection, and cotton gloves are inadequate.

Question 2 of 5

The client asks the nurse, 'Which time of the year is allergic rhinitis least likely to occur?' Which statement is the nurse's best response?

A. It is least likely to occur during the springtime. B. Allergic rhinitis is not likely to occur during the summer. C. It is least likely to occur in the early fall. D. Allergic rhinitis is least likely to occur in early winter.

Correct Answer: D

Rationale: Early winter has lower pollen levels, reducing allergic rhinitis. Spring, summer, and fall are peak seasons.

Question 3 of 5

The nurse on a medical unit has received the morning shift report. Which client should the nurse assess first?

A. The client who has a 0730 sliding-scale insulin order. B. The client who received an initial dose of IV antibiotic at 0645. C. The client who is having back pain at a '4' on a 1-to-10 scale. D. The client who has dysphagia and needs to be fed.

Correct Answer: A

Rationale: The 0730 insulin order is time-sensitive to prevent hyperglycemia or hypoglycemia. Antibiotic monitoring, mild pain, and dysphagia are less urgent.

Question 4 of 5

The client with RA has nontender, movable nodules in the subcutaneous tissue over the elbows and shoulders. Which statement is the scientific rationale for the nodules?

A. The nodules indicate a rapidly progressive destruction of the affected tissue. B. The nodules are small amounts of synovial fluid that have become crystallized. C. The nodules are lymph nodes which have proliferated to try to fight the disease. D. The nodules present a favorable prognosis and mean the client is better.

Correct Answer: B

Rationale: RA nodules are granulomas, sometimes containing synovial fluid, due to chronic inflammation. They do not indicate rapid destruction, lymph node proliferation, or better prognosis.

Question 5 of 5

The nurse is planning the care for a client diagnosed with RA. Which intervention should be implemented?

A. Plan a strenuous exercise program. B. Order a mechanical soft diet. C. Maintain a keep-open IV. D. Obtain an order for a sedative.

Correct Answer: C

Rationale: A keep-open IV ensures access for RA medications (e.g., biologics). Strenuous exercise worsens joints, soft diets are unrelated, and sedatives are not routine.

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