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A 29-Year-Old Man with Paraplegia Caused by a Spinal Cord

Question 4

Multiple Choice

A 29-year-old man with paraplegia caused by a spinal cord injury from a diving accident 4 years ago is scheduled for an open cholecystectomy.The perioperative nurse conducts a preoperative assessment to prepare for his procedure.The patient tells the nurse that he is latex-sensitive because he was told that as a spinal cord injured person he should always be considered latex-allergic.An appropriate risk reduction strategy for the patient's latex sensitivity/allergy would be to:


A) provide the anesthesia provider with an H₂ blocker, diphenhydramine, and prednisolone for premedication.
B) alert the OR and postoperative recovery areas of his latex allergy, check the setup for latex-containing items, and replace those items with nonlatex alternatives.
C) turn FiO₂ to 100% oxygen.
D) position code and latex carts outside of the OR and watch for signs of latex reaction; tape an epinephrine-filled syringe to the head of his transport vehicle.

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