A child with a cast is at risk for complications. Which of the following assessment findings should the nurse prioritize in ensuring safety and infection control?

Temperature of the cast

Skin integrity around the cast

Range of motion of the affected limb

Child's pain level

Answer and Explanation

The Correct Answer is B

A.   The temperature of the cast is important to check for heat retention but is not the first priority for infection control.
B.   Assessing skin integrity around the cast is a priority to detect signs of infection, irritation, or pressure sores.
C.   Range of motion is important but should be assessed once the skin and safety around the cast are ensured.
D.   While pain level is important, ensuring skin integrity is a higher priority for preventing complications such as infection.

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Correct Answer is D

Explanation

A. Pain management is important, but the priority after surgery is to monitor vital signs and assess for complications like shunt malfunction.
B. Teaching is important but not the priority immediately post-surgery. The priority is to monitor for complications in the immediate postoperative period.
C. Fluid intake is important but not the primary concern immediately after surgery. The focus should be on monitoring for complications and managing pain.
D. After a VP shunt procedure, monitoring for complications such as infection or shunt malfunction is critical. Vital signs should be assessed regularly to detect signs of these complications.

A. Assess the client's ability to use crutches B. Assess the client's body image C. Assess for worsening pain in the affected limb D. Assess range of motion of the knee and hip

Correct Answer is C

Explanation

A. This is important for mobility, but after casting, the priority is to monitor for complications such as compartment syndrome, which can be life-threatening if not addressed.
B. While body image and emotional well-being are important, the priority immediately following a fracture and cast placement is physical monitoring for complications.
C. Worsening pain after a fracture or cast placement may indicate complications such as compartment syndrome, a medical emergency that requires prompt intervention. Monitoring for signs of increased pain is crucial.
D. Range of motion is a later consideration after ensuring the child does not have complications such as compartment syndrome. The priority is evaluating the affected limb for issues like worsening pain or signs of nerve damage.

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A child with a cast is at risk for complications. Which of the following assessment findings should the nurse prioritize in ensuring safety and infection control?

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