A nurse is planning care for a school-age child following the application of a plaster cast for a right forearm fracture. Which of the following interventions should the nurse plan to implement?
Apply plastic covering to the cast until dry.
Apply pieces of moleskin around the edges of the cast.
Use tips of fingers to reposition the cast until dry.
Maintain casted extremity below heart level.
The Correct Answer is B
A. Apply plastic covering to the cast until dry. Covering the cast with plastic can cause moisture accumulation, which can delay drying and increase the risk of infection and skin irritation. The cast should be allowed to dry naturally and in a well-ventilated area.
B. Apply pieces of moleskin around the edges of the cast. Applying moleskin around the edges of the cast helps to protect the skin from irritation and potential injury from the rough edges of the cast. This is an appropriate intervention.
C. Use tips of fingers to reposition the cast until dry. Using the tips of fingers to handle the cast while it is drying can create indentations, leading to pressure points and potential skin breakdown. The cast should be handled with the palms of the hands to avoid indentations.
D. Maintain casted extremity below heart level. The casted extremity should be elevated above heart level, especially in the first 24-48 hours, to reduce swelling and promote venous return. Keeping it below heart level can increase swelling.
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Related Questions
Correct Answer is C
Explanation
A. Place the child in a protected environment for 48 hr: While isolation might be implemented, 48 hours is not a typical timeframe for pertussis. The contagious period can last for weeks.
B. Administer the pertussis vaccine: The pertussis vaccine is for prevention, not treatment of an active case.
C. Report the diagnosis to the public health department. Pertussis, also known as whooping cough, is a highly contagious respiratory illness. Reporting the case to the public health department allows them to track the spread of the disease and take steps to prevent further outbreaks
D. Restrict oral fluids to 500 mL per day. Restricting fluids can worsen dehydration, especially in a child with a respiratory illness.
Correct Answer is {"dropdown-group-1":"B"}
Explanation
The nurse should first: b. Keep the child NPO.
Rationale:
In this scenario, the child may have ingested a battery, which can cause serious complications such as chemical burns if it gets stuck in the esophagus. Keeping the child NPO (nothing by mouth) helps prevent further movement of the battery and reduces the risk of complications.
Other responses:
a. Obtain informed consent: While obtaining informed consent may be necessary for certain diagnostic or treatment procedures, the immediate priority is to ensure the child's safety and prevent complications from the suspected battery ingestion.
c. Teach the child's parents the importance of inspecting the child's play area: While this is an important aspect of preventing accidents, it is not the immediate priority when the child is at risk of battery ingestion. Ensuring the child's safety and preventing further harm take precedence.
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