NCLEX · General

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 Administer an antihistamine before the procedure
  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 Keep epinephrine at the bedside but use regular supplies
  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