NCLEX-PN

36. Your client has an allergy to both penicillin and latex. Which of these pathophysiological facts should you apply when you are providing to this client? A.​ The sensitizing dose of penicillin can lead to anaphylaxis. B.​ The second dose of penicillin can lead to distributive shock. C.​ You should be aware of the fact that about 10% of the population has an allergy to both penicillin and latex. D.​ You should be aware of the fact that about 20% of the population has an allergy to both penicillin and latex. Correct Response: B Explanation: The correct response is (B) . When caring for a client with allergies to both penicillin and latex, it is crucial to apply the fact that the second dose of penicillin can lead to distributive shock, specifically anaphylaxis. The first exposure to penicillin, referred to as the "sensitizing dose," primes the body for a subsequent exposure. It is during the second exposure or dose that anaphylaxis or anaphylactic shock can be triggered. This understanding is vital in preventing severe allergic reactions in individuals with known allergies to penicillin. (A) , (C) , and (D) incorrectly state specific percentages of the population with allergies to both penicillin and latex, and these percentages are not supported by scientific evidence. In summary, the application of the fact that the second dose of penicillin can lead to distributive shock is crucial in providing safe and informed care to a client with known allergies to both penicillin and latex. (See Recognizing Symptoms and Indications of an Allergic Reaction ) 37. The LPN is placing a Foley in a female client. Place the following steps in the appropriate order. A. Prepare the sterile field.​ B. Separate labia with non-dominant hand.​ C. Clean the urinary meatus using cleansing solutions and forceps.​ D. Inflate catheter balloon.​ E. Place the client in a supine position with flexed knees.​ F. Place lubricant on the catheter.​ G. Place catheter in meatus with dominant (sterile) hand.

A.​ A, E, F, B, C, G, D B.​ E, A, B, F, G, C, D C.​ A, E, B, F, G, D, C D.​ E, A, F, B, C, G, D

Correct Response: D Explanation : The correct answer is (D) . The LPN should follow this order when placing a Foley catheter to ensure a safe and aseptic insertion. The first step is to place the client in a supine position with flexed knees (E) to facilitate the procedure. Next, the LPN should prepare the sterile field (A) to maintain asepsis during the catheterization process. After that, lubricant should be applied to the catheter (F) for ease of insertion. The LPN then separates the labia with the non-dominant hand (B) to expose the urinary meatus. Cleaning the urinary meatus using cleansing solutions and forceps (C) is the subsequent step to minimize the risk of infection. Following this, the catheter is inserted into the meatus with the dominant (sterile) hand (G). Finally, the LPN inflates the catheter balloon (D) to secure it in place. Any

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