A nurse is discharging a 12 year old client who came to the outpatient clinic with an ankle sprain with their parent. Which of the following statements should the nurse identify as an indication that the client and parent understand the discharge instructions?

“I’ll rewrap my ankle starting from the knee down."

“I’ll put a heating pad on my ankle at bedtime tonight."

"I’ll bear weight on my ankle for 10 minutes every hour."

"I’ll apply ice to my ankle today and tomorrow."

Answer and Explanation

The Correct Answer is D

A. Wrapping from the knee down is incorrect; the ankle should be wrapped from the toes up to provide proper compression.

B. Heat is not recommended immediately after a sprain, as it may increase swelling.

C. Bearing weight on the ankle too soon could worsen the injury.

D. Applying ice for the first 48 hours helps reduce swelling and pain, so this is the correct statement.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Hypotension is common due to neurogenic shock in spinal cord injuries.

B. Hyperthermia can result from loss of autonomic control of temperature regulation.

C. A weakened gag reflex is possible with cervical spinal injuries, increasing the risk of aspiration.

D. Polyuria is not a common complication directly related to spinal cord injury.

E. Absence of bowel sounds can indicate paralytic ileus, a potential complication in spinal cord injuries.

A. Allow the infant to stand in the crib. B. Provide a small electronic toy. C. Change the infant's diaper as soon as soiling occurs. D. Tie colorful latex balloons to the side of the crib.

Correct Answer is B

Explanation

A. Standing in the crib could harm the cast or the infant's healing.

B. A small electronic toy is age-appropriate and can promote cognitive and sensory development.

C. Changing diapers promptly is necessary but does not promote growth and development.

D. Latex balloons are a choking hazard and should be avoided.

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A nurse is discharging a 12 year old client who came to the outpatient clinic with an ankle sprain with their parent. Which of the following statements should the nurse identify as an indication that the client and parent understand the discharge instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.)

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the hip (DDH). Which of the following strategies should the nurse implement to promote the infant's growth and development?

Correct Answer is B

Explanation

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