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 ["B","D","E"]

Explanation

A. Swelling in all extremities is not typically a symptom of VSD; it may indicate a different cardiac or renal issue.
B. Frequent lung infections are common in children with VSD due to pulmonary congestion.
C. Standard weight and growth percentile is not typical for VSD, as the child may experience failure to thrive.
D. Dyspnea occurs due to increased blood flow to the lungs and pulmonary congestion.
E. A heart murmur is a hallmark of VSD, heard due to the abnormal flow of blood through the septal defect.

A. Upon auscultation, clear bilateral breath sounds. B. Dyspnea. C. Upon auscultation a machine-like murmur in the right upper sternal border. D. Cyanosis. E. Difficulty feeding

Correct Answer is ["B","C","E"]

Explanation

A. Clear bilateral breath sounds are not typical in PDA; instead, crackles or signs of respiratory distress may be present.
B. Dyspnea (difficulty breathing) is common due to the increased pulmonary blood flow from the PDA.
C. A machine-like murmur heard at the right upper sternal border is characteristic of PDA.
D. Cyanosis is typically not present in isolated PDA unless the PDA is large and leads to right-to-left shunting.
E. Difficulty feeding is a common symptom because the newborn may tire easily due to inefficient circulation and increased work of breathing.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD). The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)

Correct Answer is ["B","D","E"]

Explanation

The nurse is caring for a newborn with suspected Patent Ductus Arteriosus (PDA). What signs and symptoms should the nurse expect to find when assessing the newborn? (Select All That Apply).

Correct Answer is ["B","C","E"]

Explanation

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