A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm.
Which of the following information is the priority for the nurse to include?
Examine the child for skin irritation at the cast edges.
Restrict the child's strenuous activities for 3 days.
Monitor for pallor or swelling in the child's affected hand.
Use a hair dryer on cool setting to relieve itching.
The Correct Answer is C
A. Examining the child for skin irritation at the cast edges is important to prevent complications but may not be the priority compared to monitoring for signs of impaired circulation or compartment syndrome.
B. Restricting the child's strenuous activities for 3 days is important for preventing damage to the cast, but it is not as urgent as monitoring for potential complications.
C. Monitoring for pallor or swelling in the child's affected hand is the priority to assess for impaired circulation or compartment syndrome, which are potential complications of cast application.
D. Using a hair dryer on a cool setting to relieve itching is a helpful tip but is not as urgent as monitoring for signs of impaired circulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","F","G"]
Explanation
A. Cutting and filing the child's fingernails frequently can help prevent excessive scratching and further damage to the skin.
B. Using a mild detergent reduces the risk of skin irritation and exacerbation of atopic dermatitis.
C. Pimecrolimus cream should be applied thinly, not in a thick layer, to the affected areas to avoid potential side effects.
D. Atopic dermatitis tends to have periodic flare-ups, so it's important to inform the guardian about this aspect of the condition.
E. Atopic dermatitis itself is not contagious, although the child may be prone to skin infections if lesions are present.
F. Applying gloves to the child's hands can prevent scratching and further skin damage.
G. Emollients help to moisturize the skin and improve its barrier function, which is important in managing atopic dermatitis.
Correct Answer is D
Explanation
A. Stevens-Johnson syndrome is a severe adverse reaction associated with certain medications but is not typically associated with morphine.
B. Hypertension is not a common adverse effect of morphine; hypotension may occur instead.
C. Prolonged wound healing is not typically associated with morphine use.
D. Bradypnea (slow breathing) is a potential adverse effect of opioid medications such as morphine.
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