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 C

Explanation

A. Tricuspid atresia causes underdevelopment of the right side of the heart and does not result in increased pulmonary blood flow.
B. Pulmonic stenosis causes obstruction of blood flow to the lungs, not an increase in blood flow.
C. A ventricular septal defect (VSD) is a congenital heart defect that allows blood to flow from the left ventricle to the right ventricle, increasing blood flow to the lungs and causing pulmonary congestion.
D. Transposition of the great arteries results in two separate circulations, one for oxygenated and one for deoxygenated blood, and does not increase pulmonary blood flow

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

A nurse is caring for a client who has a defect that allows blood flow from the left side to the right side of the heart through an abnormal connection. Which of the following defect results in increased pulmonary blood flow?

Correct Answer is C

Explanation

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

Explanation

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