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Marvin Townsend Is a 29-Year-Old Man with Paraplegia Caused by Spinal

Question 4

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Marvin Townsend is a 29-year-old man with paraplegia caused by spinal cord injury from a diving accident 4 years ago.He is transported into the trauma ED after being hit by a car as he was crossing the street in his wheelchair.He has a possible rupture of his liver and is scheduled for surgery.The perioperative nurse,on response to the trauma call,meets him in the ED to conduct a preoperative assessment and prepare for his procedure.Marvin 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 Marvin's latex sensitivity/allergy would be to:


A) advise the anesthesia provider to premedicate with an H2 blocker,diphenhydramine,and prednisolone.
B) alert the OR and postoperative recovery areas of his latex allergy,check the setup for latex-containing items,and replace those items with non-latex alternatives.
C) transfer his care to the pediatric OR in the adjoining hospital where everything in the OR is latex-free.
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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