A nurse is caring for a toddler who had a plaster spica cast applied 6 hr ago. Which of the following actions is the nurse's priority?
Check the color and temperature of the toddler's toes.
Apply cushioning to the edge of the cast using adhesive tape.
Use a fan to circulate air around the cast.
Reposition the toddler every 2 hr.
The Correct Answer is A
A. Checking the color and temperature of the toes helps assess for adequate circulation and potential complications like compartment syndrome.
B. Applying cushioning to the cast edges is important for comfort but is not the immediate priority.
C. Using a fan can help the cast dry faster but is not the priority action.
D. Repositioning the toddler is important to prevent pressure sores, but ensuring proper circulation takes precedence.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Performing passive range-of-motion exercises can cause further bleeding and should be avoided during an acute injury.
B. Applying an ice pack helps to constrict blood vessels, reduce bleeding, and minimize swelling, making it a recommended action for managing injuries in hemophilia.
C. Positioning the injured extremity below the level of the heart can increase blood flow to the area and worsen the bleeding.
D. Administering ibuprofen is not recommended as it can inhibit platelet function and increase the risk of bleeding. Acetaminophen is a safer alternative for pain relief in children with hemophilia.
Correct Answer is A
Explanation
A. Giving small amounts of oral rehydration solution frequently helps to prevent dehydration without overwhelming the child's stomach. This method is effective in rehydrating the child gradually and is well tolerated.
B. Fruit juices, especially those high in sugar, can worsen diarrhea and dehydration. They are not recommended for rehydration in cases of gastrointestinal infections.
C. While bananas and rice are part of the BRAT diet and can be included in meals, they do not address the immediate need for rehydration as effectively as oral rehydration solutions.
D. Promethazine is an antiemetic that is not typically indicated for mild dehydration and can have sedative side effects. Oral rehydration is the priority in managing mild dehydration.
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