A nurse is caring for a preschooler immediately following the application of a long-leg plaster cast due to a fracture. Which of the following actions is the nurse's priority?
Monitor capillary refill of the casted extremity.
Use the palms of the hands when supporting the cast.
Examine the skin at the cast edges.
Instruct the child not to put anything inside the cast.
The Correct Answer is A
Rationale:
A. Monitoring capillary refill of the casted extremity is crucial for assessing circulation and ensuring there are no complications such as compartment syndrome.
B. While supporting the cast correctly is important, it is not the priority immediately following the application.
C. Examining the skin at the cast edges is important, but it is not the priority immediately following the application.
D. Instructing the child not to put anything inside the cast is important, but it is not the priority immediately following the application.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A) Increasing carbohydrate intake when sick can disrupt blood sugar control and should be done cautiously under the guidance of a healthcare provider.
B) Omitting the bedtime snack can lead to overnight hypoglycemia, especially in children with diabetes who are at risk for low blood sugar during the night.
C) While proteins are part of a balanced diet, the main focus of a child's meal plan with diabetes should be on balancing carbohydrates with proteins and fats for better blood sugar control.
D) Including a snack before physical activity helps prevent hypoglycemia during exercise by providing additional carbohydrates to fuel the activity.
Correct Answer is B
Explanation
Rationale:
A) Insomnia is a sleep disorder and is not typically associated with head injuries unless there is a concurrent neurological complication.
B) Irritability can be a sign of increased intracranial pressure following a head injury and should be promptly reported for further evaluation.
C) Diarrhea is not a common manifestation of head injuries and would not typically be included in monitoring and reporting instructions.
D) Hypothermia is not typically associated with head injuries unless there is a severe injury with shock, and it is not a common manifestation requiring monitoring in the acute phase of head injury.
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