A nurse is caring for a 9-year-old child at a clinic.
Select the 3 priority actions that the nurse should take.
Place a nonadherent dressing on the right knee abrasion.
Administer Ibuprofen 200 mg
Apply ice packs to the fingers and along the right forearm.
Elevate the affected forearm with pillows.
Review cast care instructions with the child's parents.
Explain the cast application procedure to the child.
Correct Answer : B,C,D
A. Place a nonadherent dressing on the right knee abrasion: While minor abrasions should be cleaned and dressed, it is not a priority compared to managing the child's pain and fracture care.
B. Administer Ibuprofen 200 mg: Ibuprofen is an appropriate analgesic and anti-inflammatory medication to manage the child's pain (rated 5/10) and reduce swelling. Prompt pain relief is essential for the child’s comfort.
C. Apply ice packs to the fingers and along the right forearm: Applying ice helps reduce edema, pain, and inflammation at the fracture site. It also minimizes soft tissue damage.
D. Elevate the affected forearm with pillows: Elevating the arm helps reduce swelling and promotes venous return, which is essential for minimizing discomfort and preventing complications like compartment syndrome.
E. Review cast care instructions with the child's parents: Reviewing cast care is essential but should be done after the cast is applied, not at this stage of care.
F. Explain the cast application procedure to the child: This is important but not an immediate priority. The nurse should first address pain, swelling, and proper limb positioning before discussing the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Fax the client's name and identifiable information to the rehabilitation facility: Faxing may be insecure and breach confidentiality.
B. Email the client's health information in an unencrypted file: Unencrypted emails are not secure.
C. Discuss the client's response to the transfer with another staff nurse: This is unnecessary and may breach confidentiality.
D. Provide a verbal report of the client's condition to the paramedic performing the transfer: A direct, verbal report ensures that only essential information is shared securely.
Correct Answer is B
Explanation
A. Violating others' rights is more characteristic of antisocial personality disorder.
B. Self-centered behavior is a hallmark of histrionic personality disorder. Clients often seek attention, exhibit excessive emotionality, and display dramatic, exaggerated behaviors.
C. Callousness is also seen in antisocial personality disorder rather than histrionic.
D. Suspiciousness is typical of paranoid personality disorder, not histrionic.
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