Page 2194 - Saunders Comprehensive Review For NCLEX-RN

just stung by a bumblebee while gardening. The client is afraid of a severe
reaction because the client’s neighbor experienced such a reaction just 1 week
ago. Which action should the nurse take?
1. Advise the client to soak the site in hydrogen peroxide.
2. Ask the client if he ever sustained a bee sting in the past.
3. Tell the client to call an ambulance for transport to the emergency
department.
4. Tell the client not to worry about the sting unless difficulty with
breathing occurs.
769. The community health nurse is conducting a research study and is
identifying clients in the community at risk for latex allergy. Which client
population is most at risk for developing this type of allergy?
1. Hairdressers
2. The homeless
3. Children in day care centers
4. Individuals living in a group home
770. Which interventions apply in the care of a client at high risk for an allergic
response to a latex allergy? Select all that apply.
1. Use nonlatex gloves.

2. Use medications from glass ampules.

3. Place the client in a private room only.

4. Keep a latex-safe supply cart available in the client’s area.

5. Avoid the use of medication vials that have rubber stoppers.
6. Use a blood pressure cuff from an electronic device only to

measure the blood pressure.
771. A client presents at the primary health care provider’s office with complaints
of a ring-like rash on his upper leg. Which question should the nurse ask
first?
1. “Do you have any cats in your home?”
2. “Have you been camping in the last month?”
3. “Have you or close contacts had any flu-like symptoms within the
last few weeks?”
4. “Have you been in physical contact with anyone who has the
same type of rash?”
772. A client is diagnosed with scleroderma. Which intervention should the nurse
anticipate to be prescribed?
1. Maintain bed rest as much as possible.
2. Administer corticosteroids as prescribed for inflammation.
3. Advise the client to remain supine for 1 to 2 hours after meals.
4. Keep the room temperature warm during the day and cool at
night.
773. A client arrives at the health care clinic and tells the nurse that she was just
bitten by a tick and would like to be tested for Lyme disease. The client tells
the nurse that she removed the tick and flushed it down the toilet. Which

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