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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C"]
Explanation
A. Varicella (VAR): The first dose of the varicella vaccine is recommended at 12 to 15 months of age.
B. Human papillomavirus (HPV4): The HPV vaccine is not recommended until adolescence, starting at 11 to 12 years of age.
C. Measles, mumps, and rubella (MMR): The first dose of the MMR vaccine is recommended at 12 to 15 months of age.
D. Rotavirus (RV): The rotavirus vaccine series should be completed by 8 months of age. It is not given at 12 months.
E. Herpes zoster: The herpes zoster (shingles) vaccine is recommended for older adults, not infants.
Correct Answer is C
Explanation
A. Give the child small sips of water. Giving water can be helpful, but frequent throat clearing may indicate bleeding, which should be assessed first.
B. Administer an analgesic. Pain management is important, but the immediate concern should be to rule out postoperative bleeding.
C. Observe the child's throat with a flashlight. Frequent throat clearing can be a sign of bleeding. The nurse should inspect the throat first to check for signs of hemorrhage, which is a serious complication.
D. Offer the child an ice collar. An ice collar can help reduce swelling and pain but should be done after assessing for bleeding.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.