A child has had a cast placed on his left arm following a diagnosed fracture. Which actions should the nurse take? (Select all that apply)

Smooth the rough edges of the cast to maintain skin integrity

Wear sterile gloves when touching or removing the cast

Monitor capillary refill and color of nail beds of the left-hand

Monitor for signs of pain

Assess for numbness, tingling, or decreased sensation of the left hand.

Answer and Explanation

Correct Answer : A,C,D,E

Choice A rationale
Smoothing the rough edges of the cast can help maintain skin integrity and prevent skin irritation or injury.
Choice C rationale
Monitoring capillary refill and color of nail beds of the left hand is important to assess the circulation to the hand and ensure that the cast is not too tight.
Choice D rationale
Monitoring for signs of pain can help detect complications such as compartment syndrome, which is a serious condition that can occur if pressure within the muscles builds to dangerous levels.
Choice E rationale
Assessing for numbness, tingling, or decreased sensation of the left hand is important as these can be signs of nerve damage or compression.
Choice B rationale
Wearing sterile gloves when touching or removing the cast is not typically necessary. The outside of a cast is not a sterile environment, and healthcare providers do not usually wear sterile gloves when handling it.

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Correct Answer is C

Explanation

Choice A rationale
Bradycardia, or a slower than normal heart rate, is not typically associated with acute appendicitis. In fact, tachycardia, or a faster than normal heart rate, may occur due to the body’s response to inflammation and infection.
Choice B rationale
Hyperactive bowel sounds are not a typical finding in acute appendicitis. In fact, bowel sounds may be normal or decreased due to the inflammatory process.
Choice C rationale
A white blood cell (WBC) count of 17,000/mm is higher than the normal range, indicating the presence of an infection or inflammation in the body. This is a common finding in acute appendicitis.
Choice D rationale
Pain from appendicitis is typically located in the right lower quadrant of the abdomen, not the left.

A. 2 to 5 days B. 3 to 4 weeks C. 7 to 10 days D. 2 to 3 weeks

Correct Answer is D

Explanation

Choice A rationale
The incubation period for varicella, or chickenpox, is typically longer than 2 to 5 days. It usually ranges from 10 to 21 days.
Choice B rationale
An incubation period of 3 to 4 weeks is within the typical range for varicella. However, the average incubation period is usually around 14 to 16 days.
Choice C rationale
An incubation period of 7 to 10 days is shorter than the typical incubation period for varicella, which is usually around 14 to 16 days.
Choice D rationale
An incubation period of 2 to 3 weeks is within the typical range for varicella. The average incubation period is usually around 14 to 16 days.

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A child has had a cast placed on his left arm following a diagnosed fracture. Which actions should the nurse take? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a child who has acute appendicitis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is attending a continuing education course about communicable diseases. The nurse should identify that varicella has which of the following incubation periods?

Correct Answer is D

Explanation

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