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

Explanation

A. Redness can occur with skin irritation or infection, but it is not the defining symptom of scabies. Pruritus (itching) is more characteristic.
B. The hallmark symptom of scabies is intense itching (pruritus), particularly at night, due to an allergic reaction to the mite infestation in the skin.
C. Edema is not a primary symptom of scabies. It may occur as a result of a secondary infection, but it is not typically associated with the infestation itself.
D. Maceration refers to the softening or breakdown of the skin from excessive moisture, which could happen if the skin is scratched excessively. However, maceration is not a hallmark symptom of scabies.

A. Avoiding any oral feedings for the first 24 hours to prevent aspiration B. Applying direct pressure to the surgical site if bleeding occurs. C. Frequent diaper changes and keeping the incision site clean and dry D. Allowing the infant to lie flat on their back to promote spinal alignment

Correct Answer is C

Explanation

A. Avoiding oral feedings may not be necessary unless there are specific complications. The focus should be on preventing aspiration, but not necessarily withholding feedings.
B. Direct pressure should not be applied to the surgical site unless directed by a provider, as this could cause further complications.
C. Frequent diaper changes and keeping the incision site clean and dry is essential to prevent infection and protect the surgical site.
D. The infant should be positioned according to the provider's orders to avoid pressure on the surgical site and spinal cord, but lying flat may not always be necessary.

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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

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