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A nurse is assisting in the care of a 6 year old child who preoperative for repair of a fractured femur.

Exhibits
For each finding click to specify whether the finding indicates no change in the child's condition or is a sign of potential worsening condition.

A.

Skin temperature

B.

Capillary refill

C.

Pedal pulse

D.

Sensation

E.

Swelling

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"A"}}

Findings

No changes in condition

Sign of potential worsening

 

Skin temperature

 

✓

Capillary refill

 

✓

Pedal pulse

 

✓

Sensation

 

✓

Swelling

✓

 

 

  • Skin temperature: The left toes are now cool to touch, indicating a potential worsening condition.
  • Capillary refill: Capillary refill greater than 3 seconds suggests compromised circulation, indicating a potential worsening condition.
  • Pedal pulse: A pedal pulse of 1 in the left leg indicates decreased blood flow, suggesting a potential worsening condition.
  • Sensation: The sensation of pins and needles in the left foot indicates potential nerve involvement, suggesting a potential worsening condition.
  • Swelling: The swelling of the left toes remains unchanged, indicating no change in the condition.


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Related Questions

Correct Answer is B

Explanation

A. Pain following range-of-motion exercises is incorrect. Mild discomfort during movement can be expected in a healing fracture. However, severe pain unrelieved by medication or worsening pain should be reported as it could indicate compartment syndrome.

B. Coolness of the toes is correct. Cool or pale toes may indicate compromised circulation, which is a sign of compartment syndrome or impaired perfusion. This is a medical emergency and should be reported immediately.

C. Pruritus under the cast is incorrect. Itching is a common, non-emergent issue with casts and can be managed with safe interventions such as blowing cool air inside the cast. However, inserting objects to scratch the skin should be avoided.

D. Presence of swelling while the extremity is dependent is incorrect. Some degree of swelling is expected when the limb is in a dependent position. Elevating the extremity can help reduce swelling, but persistent swelling with other signs of neurovascular compromise should be reported.

Correct Answer is ["30"]

Explanation

  1. Calculate the amount of ibuprofen needed for one dose:
    • Prescription: 200 mg every 8 hours
    • Available concentration: 100 mg/5 mL
    • To find the volume for one dose: (200 mg) / (100 mg/5 mL) = 10 mL
  2. Determine the number of doses in 24 hours:
    • 24 hours / 8 hours per dose = 3 doses
  3. Calculate the total volume for 24 hours:
    • 10 mL per dose 3 doses = 30 mL

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