A nurse is caring for a child who is 2 hr postoperative.

Exhibits

Which of the following actions should the nurse take first? (Click the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

Compare the child's pedal pulses.

Determine the child's sedation level.

Assess the child's pain level.

Recheck the child's temperature.

Answer and Explanation

Correct Answer : A

Given the child's recent motor vehicle accident and subsequent orthopedic surgeries, assessing the peripheral circulation is crucial. Comparing pedal pulses helps to determine the adequacy of blood flow to the lower extremities and identify any potential complications such as compartment syndrome. This assessment should be prioritized immediately.

While assessing pain, sedation level, and rechecking temperature are all important, they do not take precedence over assessing the child's circulation and perfusion status following major orthopedic surgeries.

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Correct Answer is B

Explanation

A. A dietitian is essential for managing cystic fibrosis because CF often leads to malabsorption of nutrients and requires a high-calorie, high-fat diet to support growth and maintain weight. Children with CF may also need enzyme supplements to aid in digestion. However, this can be done after addressing the respiratory concerns.
B. Regular physical therapy is important for helping the child with respiratory exercises and techniques to clear mucus from the lungs, as well as improving overall physical conditioning and endurance. Physical therapy helps manage and prevent complications related to lung function, which is a key concern in CF.
C. A speech-language pathologist can be helpful in assessing and treating communication and swallowing disorders but they are not typically the primary focus in the management of cystic fibrosis unless the child has specific issues related to speech or swallowing that are not common in CF.
D. An occupational therapist helps children develop skills for daily living and fine motor skills. While this can be beneficial for children with various conditions, it is not usually a primary focus for a child with cystic fibrosis unless there are specific concerns related to fine motor skills or activities of daily living.

A. Prone B. Lateral C. Semi-Fowler's D. Supine

Correct Answer is B

Explanation

A. The prone position is not suitable for a lumbar puncture.
B. The lateral position, with knees drawn up to the chest, is the most common position for a lumbar puncture. It helps widen the spaces between the vertebrae, making it easier to insert the needle.
C. Semi-Fowler's position is not appropriate for a lumbar puncture.
D. The supine position is not suitable for a lumbar puncture.

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A nurse is caring for a child who is 2 hr postoperative. Exhibits Which of the following actions should the nurse take first? (Click the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

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A nurse is caring for a child who is 2 hr postoperative.

Exhibits

Which of the following actions should the nurse take first? (Click the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)