A nurse is caring for a toddler who has a short leg cast. Which of the following findings should the nurse report to the provider?
Warm temperature of the distal extremity
Positive pedal pulse in the distal extremity
Pallor of the distal extremity
Mobility of the distal extremity
The Correct Answer is C
A. Warm temperature of the distal extremity: Warmth is a normal finding and indicates proper blood flow to the extremity.
B. Positive pedal pulse in the distal extremity: A positive pedal pulse is a good sign indicating that circulation is adequate in the extremity.
C. Pallor of the distal extremity: Pallor can indicate compromised blood flow or ischemia, which is a serious condition that needs immediate attention. This could be a sign that the cast is too tight or that there is another issue affecting circulation.
D. Mobility of the distal extremity: Mobility of the distal extremity indicates that the cast is not too tight and that nerve function is likely intact. It is a positive sign and generally not a concern unless there are other symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Tea tree: Tea tree oil is known for its antimicrobial properties and is commonly used for skin issues such as acne or fungal infections. It is not typically recommended for relaxation purposes.
B. Eucalyptus: Eucalyptus oil is often used for its respiratory benefits, such as easing congestion and colds. It is stimulating rather than calming and is not commonly recommended for relaxation.
C. Lavender: Lavender oil is widely recognized for its calming and relaxing properties. It is often used to help reduce anxiety, promote relaxation, and improve sleep quality.
D. Jasmine: Jasmine oil is known for its uplifting and energizing properties rather than relaxing. While it has a pleasant scent and can have mood-enhancing effects, it is not specifically recommended for relaxation.
Correct Answer is C
Explanation
A. Bradycardia: Bradycardia (a slow heart rate) is not typically associated with heart failure. Heart failure usually leads to increased heart rate (tachycardia) as the heart attempts to compensate for poor cardiac output.
B. Increased appetite: Increased appetite is not commonly seen in heart failure. In fact, children with heart failure often have poor appetite and may experience difficulty eating due to fatigue and shortness of breath.
C. Tachypnea: Correct. Tachypnea is a common manifestation of heart failure as the body attempts to increase oxygen intake due to decreased cardiac output and poor perfusion.
D. Tremors: Tremors are not typically associated with heart failure. They are more commonly related to neurological or metabolic conditions.
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