A nurse is caring for a client with a plaster hip spica cast. What measure would best protect the cast from being soiled by urine and feces?
Tuck small disposable diapers under the cast edges in the buttock area.
Line the edges of the cast with absorbent pads and secure with tape.
Place a large cloth diaper over the perineal cutout area.
Lay the client on a disposable pad with the perineal area exposed to air.
The Correct Answer is C
Choice A rationale:
Tucking small disposable diapers under the cast edges in the buttock area may cause discomfort to the patient and could also potentially disrupt the cast alignment. It may also not effectively prevent soiling.
Choice B rationale:
Lining the edges of the cast with absorbent pads and securing with tape might not fully protect the cast from urine and feces. The absorbent pads could still allow some leakage and contamination.
Choice C rationale:
Placing a large cloth diaper over the perineal cutout area provides comprehensive protection against urine and feces soiling the cast. This method ensures that the cast remains clean and dry.
Choice D rationale:
Laying the client on a disposable pad with the perineal area exposed to air is not a practical solution. It does not offer adequate protection for the cast, and exposing the perineal area to air could lead to discomfort and potential complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
"The healthcare provider will use the VCUG to view her urinary tract and bladder to see if everything is okay.”.
Choice A rationale:
Administering antibiotics or fixing underlying issues are not the purposes of a voiding cystourethrogram (VCUG). VCUG is a diagnostic imaging procedure used to visualize the urinary tract and bladder for structural abnormalities, not to administer treatments.
Choice B rationale:
This choice accurately reflects the purpose of a VCUG. It is a radiographic study that involves using contrast dye to visualize the urinary tract, helping healthcare providers identify any anatomical abnormalities or functional issues related to the bladder.
Choice C rationale:
The statement in Choice C is incorrect. VCUG is not used to administer antibiotics directly into the urinary tract. It is primarily a diagnostic procedure, not a treatment method.
Choice D rationale:
Choice D is inaccurate. A VCUG is not attached to the bladder, nor is it used for monitoring a child's ability to urinate over an extended period. It is a one-time imaging procedure.
Correct Answer is C
Explanation
Reviewing the patient's complete blood count.
Choice A rationale:
Measuring height is not a priority when administering zidovudine.
Choice B rationale:
Monitoring weight gain is important but not the first priority.
Choice C rationale:
Reviewing the complete blood count is crucial before administering zidovudine, as this medication can cause bone marrow suppression. Checking for changes in white blood cell counts, hemoglobin, and platelet levels is essential to ensure the patient can tolerate the medication without severe adverse effects.
Choice D rationale:
Reviewing the patient's chemistry profile is relevant, but assessing blood counts is more critical due to zidovudine's potential impact on bone marrow function.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.