A nurse is providing care for an infant with new casts for the treatment of club foot. Which intervention is appropriate in promoting the infant's comfort and preventing complications?
Elevating the legs on a pillow
Applying heat therapy to the casted area
Removing the casts periodically for bathing
Encouraging the infant to crawl and bear weight on the affected leg
The Correct Answer is A
A. Elevating the legs on a pillow helps reduce swelling and discomfort while the cast is healing.
B. Heat therapy should not be applied to the casted area, as it could cause skin irritation or burns.
C. Casts should not be removed for bathing unless specifically ordered by the provider.
D. Encouraging the infant to crawl or bear weight on the affected leg is not appropriate until the cast is removed and healing is complete.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While hydration is important to help with blood flow, pain management takes precedence during an SCD crisis.
B. Oxygen may be necessary in certain cases but is not the priority in the acute pain crisis, where pain control is the primary concern.
C. Pain management is the priority in sickle cell disease (SCD) crisis, as it helps alleviate the intense pain associated with vaso-occlusive events.
D. Antipyretics are not the priority unless the child has a fever. Pain relief is more urgent during a crisis.
Correct Answer is A
Explanation
A. Edema with normal or low BP is correct. In nephrotic syndrome, fluid retention leads to edema, and blood pressure is typically normal or low due to the loss of protein in the urine and reduced plasma oncotic pressure.
B. Edema with hypertension is less common in nephrotic syndrome but may occur in cases with significant fluid retention or other complications.
C. Unexpected weight loss is incorrect. Weight gain due to fluid retention is a hallmark of nephrotic syndrome.
D. Frequency and urgency are not common symptoms of nephrotic syndrome; these are more typical of urinary tract infections.
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