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.

Answer and Explanation

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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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A"}}

Explanation

Acute Laryngotracheobronchitis (Croup): This condition typically presents with a barking, seal-like cough and inspiratory stridor due to inflammation of the upper airway, often caused by a viral infection such as parainfluenza virus.

Pneumonia: While irritability and fever can be present in both conditions, the presence of stridor (especially inspiratory) is more characteristic of Acute Laryngotracheobronchitis. Pneumonia typically presents with a productive cough, fever, and signs of lower respiratory tract involvement such as crackles or decreased breath sounds on auscultation.

A. BUN 12 mg/dL B. Urine specific gravity 1.014 C. WBC 17,500/ D. Urine osmolality 500 mOsm/kg

Correct Answer is C

Explanation

A. BUN level of 12 mg/dL is within normal range and does not indicate infection.
B. Urine specific gravity of 1.014 is within normal range and does not indicate infection.
C. A WBC count of 17,500/µL is elevated and indicates a possible infection, which should be reported immediately.
D. Urine osmolality of 500 mOsm/kg is within normal range and does not indicate infection.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is assisting with the care of a 3-year-old toddler. Exhibits The nurse is reviewing the collected data. For each finding, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than 1 disease process.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A"}}

Explanation

A nurse is reviewing the laboratory report of a newly admitted school-age child who has a fever. The nurse should identify that which of the following laboratory results is an indication of an infection and should be reported to the charge nurse immediately?

Correct Answer is C

Explanation

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