A nurse is caring for a preschool-age child who has a short-leg plaster cast applied 1 hr ago. Which of the following is an appropriate intervention

Restrict movement of the toes of the affected leg

Dry the cast with a hair dryer set on a warm setting

Reposition the affected leg using fingertips

Support the affected leg on a pillow

Answer and Explanation

The Correct Answer is D

A. Restrict movement of the toes of the affected leg: Limiting toe movement is not necessary unless the toes are being injured. Encouraging gentle movement of the toes can promote circulation and prevent stiffness while the cast sets. Restricting toe motion unnecessarily can increase the risk of complications like decreased perfusion.

B. Dry the cast with a hair dryer set on a warm setting: Using a hair dryer on a warm setting can cause burns or damage the cast material before it fully sets. Casts should be allowed to dry naturally, and heat sources should be avoided during the initial hardening period to prevent injury.

C. Reposition the affected leg using fingertips: Touching or pressing on a newly applied plaster cast can cause indentations, leading to pressure points that may result in skin breakdown or impaired circulation. The cast should be handled minimally and supported rather than manipulated directly.

D. Support the affected leg on a pillow: Elevating and supporting the leg on a pillow helps reduce edema, provides comfort, and promotes proper alignment while the cast sets. This intervention is safe and appropriate during the immediate postoperative or post-cast application period.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Wear an N95 respiratory mask while caring for the toddler: RSV is transmitted via droplet and direct contact, not airborne particles. An N95 mask is not required; a standard surgical mask is sufficient when indicated. Using an N95 would be unnecessary and does not align with standard RSV precautions.

B. Place the toddler in a room with negative air pressure: Negative pressure rooms are reserved for airborne infections, such as tuberculosis or measles. RSV does not require airborne isolation, so a standard private room with contact and droplet precautions is appropriate.

C. Use a designated stethoscope when caring for the toddler: RSV spreads via direct contact and contaminated surfaces. Using a stethoscope dedicated to the infected child helps prevent transmission to other clients, aligning with contact precaution protocols and reducing the risk of cross-contamination.

D. Remove the disposable gown after leaving the toddler's room: Gowns should be removed before leaving the room, not after, to prevent contamination of other areas. Removing the gown inside the room maintains infection control.

A. Bedtime B. Use of chronic devices C. Evening meal D. Medication E. Caffeine use F. Exercise schedule

Correct Answer is ["C","F"]

Explanation

A. Bedtime: The client’s bedtime of 2330 has remained unchanged despite the shift in work hours, providing some stability to the circadian rhythm. A consistent bedtime typically supports sleep regulation rather than disrupting it. Although the new routine may affect sleep pressure, the bedtime is not the primary contributor to the new difficulties falling asleep.

B. Use of chronic devices: The client turns off their phone at 2230, limiting blue-light exposure well before bedtime. There is no indication of prolonged screen use or other electronic stimulation that would interfere with melatonin release. With the device turned off an hour before bed, this factor is unlikely to be influencing the client’s disrupted sleep.

C. Evening meal: The client now eats dinner late in the evening after a 1200–2000 work shift, placing the meal close to their 2330 bedtime. Eating late can increase gastrointestinal activity and delay the body’s transition into restful sleep, contributing to both difficulty falling asleep and nighttime awakenings.

D. Medication: The client’s medications ethinyl estradiol/desogestrel and ferrous sulphate have remained consistent for months without changes in timing or dosage. These medications are not known to disrupt sleep when taken as prescribed and do not coincide with the recent onset of nighttime symptoms.

E. Caffeine use: Although the client now drinks 2 to 3 cups of coffee, it is consumed early in the morning and remains outside the usual window in which caffeine impacts nighttime sleep. Morning intake allows adequate time for caffeine metabolism before bedtime. The timing makes it a less significant factor in the client’s difficulties initiating and maintaining sleep.

F. Exercise schedule: The client exercises immediately after a shift that ends at 2000, pushing vigorous activity close to bedtime. Late-evening exercise can increase sympathetic activity and core body temperature, which can interfere with the body’s ability to relax and initiate sleep.

View Question and Answer

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

A nurse is caring for a preschool-age child who has a short-leg plaster cast applied 1 hr ago. Which of the following is an appropriate intervention

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler who has respiratory syncytial virus. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

A nurse is caring for a client in an outpatient clinic Exhibits Select the 2 findings the nurse should identify as factors that may interfere with the client's sleep

Correct Answer is ["C","F"]

Explanation

A nurse is planning care for a child who is unresponsive and has increased intracranial pressure. Which of the following actions should the nurse take?

A nurse is assessing a full-term newborn who is 24 hr old. Which of the following findings should the nurse report to the provider?

A nurse discovers that the wrong dosage of a medication was given to a client. When determining what action to take, the nurse should recognize that which of the following ethical principles should be applied?

A home health nurse is conducting an initial home visit for a client who has terminal breast cancer. The client has two school-age children and a limited support system. Which of the following is the priority nursing action?

A nurse in the clinic is providing information to a client who has mastitis of the left breast. The client asks the nurse. "Does this mean that I must stop nursing my baby?" Which of the following is an appropriate statement by the nurse?

A nurse is caring for a client following an open colectomy. Which of the following findings places the client at risk for delayed wound healing?

A nurse is caring for a client who has schizophrenia. The client states, "Run cats spin the rain throwing procedure mechanical paper lake." The nurse should document that the client is demonstrating which of the following speech alterations?