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 A
Explanation
A. The nurse should encourage open communication and allow the adolescent to express their emotions about the amputation. This provides emotional support and helps the child process the upcoming surgery.
B. Encouraging immediate return to physical activities may not be realistic or helpful right after surgery.
C. Assisting the adolescent in accepting the procedure as a better alternative to chemotherapy may minimize the emotional aspects of the situation and is not an ideal approach.
D. Avoiding the topic of the procedure can increase anxiety and delay the emotional preparation needed for the surgery.
Correct Answer is A
Explanation
A. Tachycardia can occur with a brain tumor due to increased intracranial pressure and systemic stress responses.
B. Hyporeflexia is not a typical sign of a brain tumor. Hyperreflexia or changes in reflexes may be seen with central nervous system involvement.
C. Decreased appetite is more common due to nausea, vomiting, and other neurological symptoms associated with brain tumors.
D. A negative Babinski reflex is normal in children over 2 years old, and a positive Babinski reflex (extending the toes) may indicate neurological involvement, not a typical finding in brain tumors.
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