A nurse is assisting with providing care for a child who is in a synthetic hip spica cast.
Which of the following actions should the nurse take?
Assist the child with crutch walking after the cast is dry.
Avoid touching the child until the cast is completely dry.
Use a heat lamp to facilitate drying the cast.
Apply moleskin to the edges of the cast to protect the child's skin.
The Correct Answer is D
Choice A rationale
Assisting with crutch walking is necessary but should occur only after ensuring the cast is properly set and stable to avoid injury.
Choice B rationale
Avoiding touch until the cast is dry is unnecessary and impractical. The nurse can handle the cast gently without causing damage.
Choice C rationale
Using a heat lamp can lead to skin burns or uneven drying, which might weaken the cast.
Choice D rationale
Applying moleskin to the edges protects the child’s skin from irritation and breakdown, promoting comfort and skin integrity.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Allowing a child to fall asleep with a parent can create dependence and difficulties with independent sleep. It's better to establish a routine that encourages self-soothing.
Choice B rationale
A dark room can actually make some children more anxious. A nightlight can provide comfort without disrupting sleep.
Choice C rationale
Encouraging a child to sleep with a favorite toy can provide comfort and a sense of security, facilitating a smoother transition to sleep.
Choice D rationale
Allowing TV before bed can overstimulate the child and interfere with sleep patterns. It’s better to establish a calming bedtime routine.
Correct Answer is B
Explanation
Choice A rationale
HIPAA is indeed a federal law, which sets national standards for the protection of health information. It applies across all states and helps ensure the privacy and security of patients' medical records and other health information.
Choice B rationale
This statement is incorrect and indicates a need for further instruction. HIPAA requires that protected health information (PHI) is only disclosed to family members with the patient's consent, unless under specific circumstances, such as in emergencies or when the patient is incapacitated.
Choice C rationale
HIPAA establishes regulations to protect health information in all forms, including verbal, electronic, and written. This ensures comprehensive coverage of patient data privacy and security across different mediums.
Choice D rationale
A client's address is considered personally identifiable information (PII) under HIPAA. This type of information must be protected to prevent unauthorized access or disclosure, in order to safeguard the individual's privacy. .
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