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OR Nurse:
doi: 10.1097/01.ORN.0000407825.68700.07
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Creating a latex-safe perioperative environment

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INSTRUCTIONS Creating a latex-safe perioperative environment


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* On the print form, record your answers in the test answer section of the CE enrollment form on page 26. Each question has only one correct answer. You may make copies of these forms.

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* You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.

* Registration deadline is December 31, 2013.

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Lippincott Williams & Wilkins, publisher of ORNurse2011 journal, will award 1.9 contact hours for this continuing nursing education activity. Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

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Creating a latex-safe perioperative environment

GENERAL PURPOSE: To provide nurses with an overview of the problems latex can present to patients and healthcare workers and to identify solutions for minimizing sensitivity and allergic reactions. LEARNING OBJECTIVES: After reading the preceding article and taking this test, you should be able to: 1. Describe the incidence, pathology, and effects of latex hypersensitivity. 2. Identify ways to decrease the incidence of allergic reactions to latex.

1. To develop a latex-safe environment, health facilities should establish a

a. patient advisory council that reviews policies.

b. multidisciplinary team to develop protocols.

c. nursing committee to review all products used in OR.

d. policy to eliminate the purchase of any latex products.

2. The greatest source of latex aeroallergens in the surgical setting is

a. supply packaging.

b. disposable supplies.

c. catheters and tubing.

d. sterile and unsterile gloves.

3. Each year, the number of healthcare workers who develop latex sensitivity from gloves is

a. 1 in 1000.

b. 1 in 100.

c. 1 in 50.

d. 1 in 5.

4. OSHA reports that environmental latex proteins decrease when gloves are

a. powder-free.

b. removed slowly.

c. made of denatured latex.

d. removed in positive pressure rooms.

5. Which antibody develops in response to latex proteins?

a. IgA

b. IgE

c. IgG

d. IgM

6. Which person is at least risk for latex sensitization?

a. a patient with a history of eczema

b. a patient allergic to papayas

c. a patient with rheumatoid arthritis

d. a patient who's had many surgical procedures

7. Which of the following is a T cell mediated dermatitis?

a. Type I hypersensitivity

b. Type II hypersensitivity

c. Type IV hypersensitivity

d. irritant contact dermatitis

8. Which of the following can cause anaphylaxis?

a. Type I hypersensitivity

b. Type II hypersensitivity

c. Type IV hypersensitivity

d. irritant contact dermatitis

9. Studies show latex-sensitized healthcare providers can continue to work

a. after receiving allergy desensitization injections.

b. in settings where latex-denatured gloves are used.

c. in settings where low-protein, powder-free gloves are used.

d. in settings where the airborne latex level is less than 500 parts per million.

10. The gold standard to determine Type I latex hypersensitivity is a

a. blood test that detects allergen-specific IgE.

b. blood test that detects antigens to tropical plants.

c. skin prick test with antigen taken directly from rubber trees.

d. skin prick test with antigen extracted from various glove products.

11. Which statement is correct about preparing a latex-sensitive patient for surgery?

a. Premedication with antihistamines will prevent adverse reactions.

b. Premedication with corticosteroids will prevent adverse reactions.

c. Schedule the patient as the last case of the day.

d. Schedule the patient as the first case of the day, if a latex-safe room isn't available.

12. When patients are latex sensitive or allergic, recommended actions include

a. using only synthetic gloves.

b. using low-protein powder-free gloves.

c. putting the patient in an isolation room.

d. scheduling the patient as the last surgical case of the day.

13. OSHA recommends avoiding

a. any kind of latex gloves.

b. low-protein latex gloves.

c. powdered latex gloves.

d. synthetic powdered gloves.

14. How many hours in advance of surgery should the OR be notified of a potential latex allergy, if possible?

a. 2

b. 6

c. 12

d. 24

15. The first step in response to an allergic reaction to latex in the OR is to

a. stop the procedure.

b. irrigate the involved area.

c. change gloves and instruments.

d. administer epinephrine and diphenhydramine.

16. A patient may have a latex allergy if he or she develops allergic symptoms when eating

a. mushrooms.

b. bananas.

c. artichokes.

d. strawberries.

17. Which area of the hospital is considered high-risk for latex sensitivity?

a. radiology department

b. oncology unit

c. dietary department

d. rehabilitation unit

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