A nurse is caring for a 13-year-old with a tibia, fibula fracture, what is the priority assessment after a cast has been applied?

Assess the client's ability to use crutches

Assess the client's body image

Assess for worsening pain in the affected limb

Assess range of motion of the knee and hip

Answer and Explanation

The Correct Answer is C

A.   This is important for mobility, but after casting, the priority is to monitor for complications such as compartment syndrome, which can be life-threatening if not addressed.
B.   While body image and emotional well-being are important, the priority immediately following a fracture and cast placement is physical monitoring for complications.
C.   Worsening pain after a fracture or cast placement may indicate complications such as compartment syndrome, a medical emergency that requires prompt intervention. Monitoring for signs of increased pain is crucial.
D.   Range of motion is a later consideration after ensuring the child does not have complications such as compartment syndrome. The priority is evaluating the affected limb for issues like worsening pain or signs of nerve damage.

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Correct Answer is A

Explanation

A. Wilms' tumor is a kidney tumor, and the child should not have blood pressure measured or venipuncture done on the affected side to avoid any potential injury to the kidney.
B. This is important in care but is not the primary immediate precaution. The main focus is to avoid injury to the affected kidney.
C. While urine collection is important for monitoring kidney function, it is not a warning sign for Wilms' tumor.
D. This may be necessary later in the treatment but is not a primary concern for the initial care of a child with Wilms' tumor.

A. Call for a code blue and initiate cardiopulmonary resuscitation (CPR) B. Restrain the child to prevent injury C. Administer a dose of lorazepam to stop the seizure D. Ensure the child's safety by removing nearby objects and padding the area

Correct Answer is D

Explanation

A. CPR is not typically necessary unless the child stops breathing or the heart stops during the seizure, which is rare.
B. Restraining a child during a seizure can cause injury. The focus should be on safety and protection, not restraint.
C. Lorazepam may be given if the seizure lasts too long, but ensuring safety is the priority action.
D. The nurse’s priority during a seizure is to ensure the child’s safety by removing hazardous items from the area and ensuring the child does not get injured.

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A nurse is caring for a 13-year-old with a tibia, fibula fracture, what is the priority assessment after a cast has been applied?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a child with a suspected diagnosis of Wilm's tumor. The nurse should place a sign with which of the following warnings about this child?

Correct Answer is A

Explanation

A nurse is caring for a child who is having a tonic-clonic seizure. What is the nurse's priority action during the seizure?

Correct Answer is D

Explanation

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?

A home health nurse is developing a plan of care for a child diagnosed with hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?

A nurse notices a school-age child with leukemia experiencing severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

A nurse is assessing a child who has nephrotic syndrome. The nurse should expect which of the following findings?

A nurse is caring for a preschool client who has Tetralogy of Fallot (TOF). What are the defects the nurse should be aware of when caring for a client with Teratology of Fallot (TOF)? (Select all that apply).

A nurse is admitting a child diagnosed with leukemia and is scheduled to receive chemotherapy for the Intensification stage of treatment. Which of the following clients should the nurse place in the same room with this child?

A nurse is assessing an infant following a motor vehicle crash. Which of the following findings indicate increased intracranial pressure in an Infant?