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A nurse is caring for a school-age child who has a new plaster cast on her right arm. Which of the following actions should the nurse take?

A.

Place a warm, moist heat pack on the cast.

B.

Position the casted arm in a dependent position.

C.

Move the casted arm with a firm grasp.

D.

Administer diphenhydramine to relieve itching.

Answer and Explanation

The Correct Answer is D

A. Place a warm, moist heat pack on the cast: Incorrect. Moisture can damage the integrity of a plaster cast, and heat can increase swelling.

B. Position the casted arm in a dependent position: Incorrect. Keeping the arm elevated helps reduce swelling and pain.

C. Move the casted arm with a firm grasp: Incorrect. A firm grasp can cause further injury or discomfort. It’s important to handle the casted limb gently.

D. Administer diphenhydramine to relieve itching: Correct. Itching is common under a new cast, and diphenhydramine can help manage this symptom without risking damage to the cast.


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Related Questions

Correct Answer is ["7"]

Explanation

Formula: Volumetoadminister=Desireddose/Availabledose ×Volumeavailable

Calculation: 350mg/250mg × 5mL=7mL

Answer: 7 mL

Correct Answer is C

Explanation

Inject insulin in the deltoid muscle: Insulin is administered subcutaneously, not intramuscularly. Common sites for insulin injection include the abdomen, thighs, and upper arms.

B. Take glyburide with breakfast: Glyburide is an oral hypoglycemic agent used for type 2 diabetes, not type 1 diabetes. Adolescents with type 1 diabetes require insulin.

C. Obtain an influenza vaccine annually: People with diabetes are at higher risk for complications from influenza, so annual vaccination is recommended to prevent illness.

D. Administer glucagon for hyperglycemia: Glucagon is used to treat severe hypoglycaemia, not hyperglycaemia. For hyperglycemia, insulin administration and monitoring blood glucose levels are key.

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