The nurse is admitting a pediatric client to the hospital with a ...

[maychende]

The nurse is admitting a pediatric client to the hospital with a VP shunt malfunction. The client's family speaks very little English.
 
  The interpreter has arrived and the nurse is obtaining a health history from the parents and learns that the client received the shunt at birth after a menigocele repair. Based on this data, which product should be avoided when providing care to this client?
  A) Synthetic rubber gloves
  B) Polyethylene gloves
  C) Non-powdered nitrile gloves
  D) Latex gloves

Question 2

The nurse is assessing a client who is receiving IV antibiotics. Which item in the client's health history increases the risk for experiencing a hypersensitivity reaction?
 
  A) 26 years of age
  B) Caucasian race
  C) Previous antibiotic therapy
  D) Concurrent chronic illness

[xiaomengxian]

Answer to Question 1

Answer: D

Clients with a history of meningocele typically experience severe latex allergies. It is important for the nurse, and other healthcare providers, to use latex alternative products on this client. The other options are appropriate for this client.

Answer to Question 2

Answer: C

Anyone can have a hypersensitivity reaction. However, risk generally increases with previous exposure, because antigens must be formed with the first exposure before hypersensitivity is likely to occur. Age, sex, concurrent illnesses, and previous reactions to related substances have been identified as having a role in risk for hypersensitivity; however, previous exposure presents the greatest risk.