NCLEX · Safety and Infection Control

A client with a documented latex allergy is scheduled for a procedure. What is the priority nursing action?

Correct answer

Ensure a latex-free environment — use latex-free gloves, equipment, and supplies; post latex allergy alerts; schedule the client as the first case of the day when possible (less airborne latex)

  1. A Keep epinephrine at the bedside but use regular supplies
  2. B Ensure a latex-free environment — use latex-free gloves, equipment, and supplies; post latex allergy alerts; schedule the client as the first case of the day when possible (less airborne latex)
  3. C Administer an antihistamine before the procedure
  4. D Have the client sign a waiver

Why this is the answer

LATEX ALLERGY MANAGEMENT — PREVENTION IS PRIORITY: Create a LATEX-FREE ENVIRONMENT: latex-free gloves (nitrile, vinyl); latex-free equipment (BP cuffs, tourniquets, IV tubing, catheters, syringes); check all supplies for latex content;

Latex allergy alerts: Allergy band, chart flag, signage on the door.

Scheduling: First case of the day reduces airborne latex particles that accumulate from prior cases.

Cross-reactivity: Latex-allergic patients may react to certain foods (banana, avocado, kiwi, chestnut — 'latex-fruit syndrome').

Reaction severity: Ranges from contact dermatitis to anaphylaxis; have emergency equipment and epinephrine available; PREVENTION over reaction: The priority is preventing exposure, not just being ready to treat a reaction.

Healthcare workers: At higher risk for developing latex allergy due to frequent exposure; LPN role: verify allergy, ensure latex-free supplies, post alerts, advocate for first-case scheduling, monitor for reaction.

Source: NCLEX-PN Safe Care — Latex Allergy Prevention

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About this topic: Safety and Infection Control

Safety and infection control questions cover Standard and transmission-based precautions, hand hygiene, fall and injury prevention, restraints, fire safety and handling hazardous materials. This is one of 35 PN: Coordinated Care questions on safety and infection control, each with a full explanation on a single study page.

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