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    Pediatrics proctored exam (HCP bridge)

    Latex allergy is suspected in a child with spina bifida. Which of the following interventions by the assistive personnel would the nurse querry

    Explanation & Rationale

    Choice A rationale Placing non-latex gloves in the child's room is an appropriate intervention for a child suspected of having a latex allergy, such as those with spina bifida who have high exposure risk. This action ensures that all caregivers have readily available, safe supplies to prevent skin and mucous membrane contact with latex proteins, thereby minimizing the risk of triggering an allergic or anaphylactic reaction. Choice B rationale Checking the child's tray for allergenic foods like bananas, kiwis, avocados, and chestnuts is a crucial and appropriate intervention because these foods contain proteins that cross-react with latex proteins. This phenomenon, known as latex-fruit syndrome, necessitates dietary precautions to prevent a systemic allergic reaction in latex-sensitive individuals. Choice C rationale Placing a latex allergy sign on the child's door is a standard and essential safety intervention to alert all healthcare personnel, visitors, and support staff to the child's allergy status. This universal precaution helps ensure that all items brought into the room or used on the child are verified as latex-free, which is vital for preventing accidental exposure. Choice D rationale Removing the child's allergy armband because the parent asks would be a nursing error and an inappropriate intervention to question, as this action contradicts standard safety protocols. The allergy armband is a critical, visible identifier of a life-threatening allergy, and its removal substantially increases the risk of an accidental latex exposure and subsequent severe adverse reaction.

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