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
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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Related Questions
Correct Answer is D
Explanation
A. Pain management is important, but the priority after surgery is to monitor vital signs and assess for complications like shunt malfunction.
B. Teaching is important but not the priority immediately post-surgery. The priority is to monitor for complications in the immediate postoperative period.
C. Fluid intake is important but not the primary concern immediately after surgery. The focus should be on monitoring for complications and managing pain.
D. After a VP shunt procedure, monitoring for complications such as infection or shunt malfunction is critical. Vital signs should be assessed regularly to detect signs of these complications.
Correct Answer is A
Explanation
A. Edema with normal or low BP is correct. In nephrotic syndrome, fluid retention leads to edema, and blood pressure is typically normal or low due to the loss of protein in the urine and reduced plasma oncotic pressure.
B. Edema with hypertension is less common in nephrotic syndrome but may occur in cases with significant fluid retention or other complications.
C. Unexpected weight loss is incorrect. Weight gain due to fluid retention is a hallmark of nephrotic syndrome.
D. Frequency and urgency are not common symptoms of nephrotic syndrome; these are more typical of urinary tract infections.
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