A nurse is giving discharge instructions to the parents of a child who has a broken arm and has just been fitted with a fiberglass cast. Which of the following instructions should the nurse include?

Allow your child to swim with supervision.

Position your child’s casted arm in a sling at bedtime.

Use a hair dryer on a cool setting to relieve your child’s itching.

Make sure your child can move their fingers every 6 hours.

Answer and Explanation

The Correct Answer is C

Choice A reason: Swimming is contraindicated with a fiberglass cast, as water exposure risks skin irritation or cast damage. A hair dryer relieves itching. Allowing swimming risks infection or cast breakdown, critical to avoid in ensuring proper healing and parental education for children with arm casts.

Choice B reason: Positioning the arm in a sling at bedtime is unnecessary; elevation on pillows promotes circulation. A hair dryer addresses itching. Assuming a sling is required risks discomfort, critical to prevent in ensuring proper cast care and comfort for children post-fracture.

Choice C reason: Using a hair dryer on a cool setting safely relieves itching under a fiberglass cast, preventing skin irritation from scratching. This instruction is critical for comfort, ensuring proper cast care, supporting healing, and educating parents on safe management of a child’s arm cast post-injury.

Choice D reason: Checking finger movement every 6 hours is insufficient; frequent checks (e.g., every 2-4 hours) ensure circulation. A hair dryer is correct for itching. Assuming 6-hour checks risks delayed detection of complications, critical to avoid in ensuring safe cast care for children with fractures.

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Correct Answer is D

Explanation

Choice A reason: Smallpox vaccination is not routine due to eradication; disaster preparedness involves drills. Assuming vaccination is relevant risks misaligned priorities, diverting resources from practical preparedness, critical to avoid in ensuring nurses contribute effectively to community readiness for various disaster scenarios.

Choice B reason: Quarantine for anthrax is specific and reactive, not a primary preparedness activity; drills are broader. Assuming quarantine planning is key risks neglecting comprehensive disaster training, critical to prevent in ensuring nurses are prepared for diverse emergencies through community mock events.

Choice C reason: Assessing disaster types and scopes is typically administrative, not a nurse’s primary role; drills are practical. Assuming assessment is the focus risks overlooking hands-on preparedness, critical to avoid in ensuring nurses gain skills through community drills for effective disaster response.

Choice D reason: Participating in community drills and mock events prepares nurses for disaster response, enhancing skills in triage and coordination, critical for effective emergency management. This ensures readiness, improves response efficiency, and supports community safety, essential for nurses in disaster preparedness roles across various scenarios.

A. Personal blogs about managing the adverse effects of diabetes medications. B. Food label recommendations from the Institute of Medicine. C. Food exchange lists for meal planning from the American Diabetes Association. D. Diabetes medication information from the Physicians’ Desk Reference.

Correct Answer is C

Explanation

Choice A reason: Personal blogs are unreliable, lacking evidence-based guidance for diabetes management, risking misinformation. ADA food exchange lists are credible. Providing blogs risks client confusion or harmful practices, critical to avoid in ensuring accurate, safe dietary education for type 2 diabetes mellitus management.

Choice B reason: The Institute of Medicine does not provide specific food label recommendations for diabetes; ADA exchange lists are standard. Assuming IOM resources are appropriate risks inadequate dietary guidance, potentially affecting glycemic control, critical to prevent in supporting effective diabetes self-management at discharge.

Choice C reason: ADA food exchange lists provide evidence-based meal planning, helping clients manage type 2 diabetes through balanced carbohydrate intake. This resource is critical for glycemic control, promoting adherence, ensuring nutritional education, and supporting long-term health, essential for effective diabetes management post-discharge.

Choice D reason: The Physicians’ Desk Reference provides medication details but not dietary guidance, unlike ADA exchange lists for diabetes meal planning. Assuming PDR is sufficient risks neglecting nutritional education, critical to avoid in ensuring comprehensive diabetes self-management and glycemic control at discharge.

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A nurse is giving discharge instructions to the parents of a child who has a broken arm and has just been fitted with a fiberglass cast. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newly licensed nurse is reviewing the role of a nurse in disaster planning. Which of the following is an activity a nurse should engage in to assist in disaster preparedness?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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