A nurse is caring for a school-age child following the application of a cast to a fractured right tibia.
Which of the following actions should the nurse take first?
Elevate the child's leg.
Administer pain medication.
Petal the edges of the cast.
Teach the child about cast care.
The Correct Answer is A
The first action the nurse should take is to elevate the child’s leg.
This is choice A. Elevating the child’s leg can help reduce swelling and improve circulation.
After elevating the child’s leg, the nurse can then administer pain medication (choice B), petal the edges of the cast (choice C), and teach the child about cast care (choice D).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
During menstruation, girls lose some iron and should try to replace it by including iron-rich foods in their diet.
Choice A is wrong because the American Heart Association recommends limiting sodium intake to 1,500 milligrams per day.
Choice B is wrong because caloric needs vary depending on age, sex, height, weight, and level of physical activity.
Choice D is wrong because vitamin D is important for bone health and adolescents should not decrease their intake.
Correct Answer is C
Explanation
A preschool-age child who has a muffled voice and no spontaneous cough should be assessed first.
These symptoms may indicate epiglottitis, which is a life-threatening condition that requires immediate medical attention.
Choice A, B and D are also important but not as urgent as choice C. A toddler with nephrotic syndrome and facial edema, an adolescent with Crohn’s disease and recent weight loss, and a school-age child with diabetes mellitus and a blood glucose of 200 mg/dL should be assessed after the preschool-age child with a muffled voice and no spontaneous cough.
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