A nurse cares for a client who had a wrist cast applied 3 days ago. The client states, “The cast is loose enough to slide off.” How would the nurse respond?

Keep your arm above the level of your heart.

As your muscles atrophy, the cast is expected to loosen.

I will wrap a bandage around the cast to prevent it from slipping.

You need a new cast now that the swelling is decreased.

Answer and Explanation

The Correct Answer is D

Choice A reason: Elevating the arm reduces edema but does not address a loose cast, which can fail to immobilize the fracture. Inadequate immobilization risks malunion or delayed healing, as the cast must maintain stable alignment of the fractured bones.
Choice B reason: Muscle atrophy occurs over weeks, not 3 days, and is not the primary cause of a loose cast. Initial swelling reduction post-fracture causes the looseness, requiring cast replacement to ensure proper immobilization and fracture stability.
Choice C reason: Wrapping a bandage around a loose cast is inadequate, as it does not provide the rigid support needed for fracture healing. Improper immobilization can lead to bone misalignment, delayed union, or soft tissue injury, necessitating a new cast.
Choice D reason: A loose cast 3 days post-application indicates reduced swelling, common after initial trauma. A new, properly fitted cast is needed to ensure immobilization, as loose casts fail to stabilize the fracture, risking malunion or nonunion of the wrist bones.

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

Explanation

Choice A reason: Stopping AEDs when seizures stop is incorrect, as it risks rebound seizures due to unopposed neuronal excitability. Most patients require long-term therapy to maintain seizure control, especially in chronic epilepsy, guided by neurological evaluation.
Choice B reason: AED therapy is often lifelong for chronic epilepsy, as seizures result from persistent neuronal hyperexcitability. Maintaining therapeutic drug levels prevents recurrence, as the underlying neurological predisposition remains, requiring continuous management to stabilize brain activity.
Choice C reason: Consistent dosing maintains steady-state AED levels, preventing subtherapeutic concentrations that could trigger seizures. Fluctuations in drug levels disrupt neuronal stabilization, increasing seizure risk, making adherence to dosing schedules critical for effective epilepsy control.
Choice D reason: Skipping doses due to adverse effects is dangerous, as it lowers AED levels, increasing seizure risk. Adverse effects should be managed by consulting the provider to adjust doses or switch medications, not by skipping doses.
Choice E reason: Abruptly discontinuing AEDs can cause rebound seizures due to sudden loss of neuronal stabilization, leading to excitotoxicity. Gradual tapering under medical supervision is required to minimize withdrawal-induced seizures, making this a critical teaching point.

A. Apply cool compresses to the affected eye several times a day. B. Instill topical steroid eye drops for 1 week. C. Clear drainage from the inner to the outer aspect of the eye. D. Keep the eye patched until the inflammation resolves.

Correct Answer is C

Explanation

Choice A reason: Cool compresses may provide comfort but are not a primary treatment for acute conjunctivitis, which is often bacterial or viral. They do not address infection or drainage, the main concerns, and are less critical than proper hygiene techniques.
Choice B reason: Topical steroids are not routinely used for acute conjunctivitis, especially bacterial or viral, as they may worsen infections or delay healing by suppressing immune responses. Antibiotics or antivirals are preferred, making this an incorrect teaching point.
Choice C reason: Clearing drainage from the inner to outer aspect of the eye prevents spreading infection across the eye or to the other eye. This technique maintains hygiene, reducing bacterial or viral load in conjunctivitis, making it the most appropriate instruction.
Choice D reason: Patching the eye is not recommended, as it creates a moist environment that can promote bacterial growth or prolong viral conjunctivitis. It may also cause discomfort and is not a standard management strategy for acute conjunctivitis.

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A nurse cares for a client who had a wrist cast applied 3 days ago. The client states, “The cast is loose enough to slide off.” How would the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing antiepileptic drug (AED) therapy. Which statements about AED therapy are accurate? (Select all that apply)

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

Explanation

What will the nurse teach parents when giving instructions for acute conjunctivitis?

Correct Answer is C

Explanation

The nurse is preparing to administer amantadine 150 mg PO every 12 hours. The available medication is amantadine 50 mg/5 mL syrup. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client with diabetes mellitus who has fractured her arm. Which action would the nurse take first?

The nurse explains that Bryant's traction is reserved for children who weigh less than how many pounds?

A nurse is caring for a client who is recovering from an above-the-knee amputation and reports pain in the limb that was removed. How would the nurse respond?

A nurse is planning postoperative care for a client following a total hip arthroplasty. What nursing interventions would help prevent venous thromboembolism for this client? (Select all that apply)

What statement by a patient’s mother leads the nurse to determine she understands instructions about administering an oral antibiotic for otitis media?

A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin. Which of the following statements by the client indicates a need for further teaching?

The primary health care provider prescribes methotrexate for a client with a new diagnosis of rheumatoid arthritis. The nurse provides health teaching about the drug. What statement by the nurse is appropriate to include about methotrexate?