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 A
Explanation
A. Remain uninvolved until the child awakens. This can be distressing for both the child and the parent. Parents should provide comfort and ensure the child is safe without trying to fully awaken them. Staying uninvolved until the child awakens ensures they do not reinforce the behavior inadvertently
B. Take the child to the parent's bed to resume sleep. This can create a dependency on sleeping with the parent and may disrupt the child's ability to self-soothe and sleep independently.
C. Schedule professional counselling for the child. While severe cases may benefit from professional help, many children experience sleep terrors that do not require counselling. It’s not the first-line approach.
D. Allow the child to fall asleep with the television on. This is not advisable as it can create unhealthy sleep habits and the light from the television can disrupt sleep cycles.
Correct Answer is B
Explanation
A. Soak combs and brushes in boiling water for 10 min. Incorrect. While cleaning items is important, soaking combs and brushes in boiling water is more relevant to head lice, not scabies. Scabies mites live on skin and are unlikely to infest combs and brushes.
B. Treat everyone who came into close contact with the child. Correct. Scabies is highly contagious and spreads through close personal contact. All household members and close contacts should be treated simultaneously to prevent reinfestation.
C. Apply petroleum jelly to the affected areas. Incorrect. The treatment for scabies involves prescription scabicides (such as permethrin cream), not petroleum jelly.
D. Wash the child's hair with shampoo containing ketoconazole. Incorrect. Ketoconazole shampoo is used for fungal infections like dandruff or seborrheic dermatitis, not scabies.
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