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
Explanation
Vomiting can lead to decreased absorption of digoxin, potentially resulting in subtherapeutic levels and inadequate therapeutic effect. The plan of care should be revised to address the vomiting and consider alternative routes of administration or doses.
A digoxin level within the therapeutic range indicates adequate drug absorption and effectiveness.
An apical pulse of 100/min is within the expected range for toddlers and does not necessarily require a revision of the plan of care related to digoxin therapy.
A potassium level within the normal range is desirable and does not necessarily require a revision of the plan of care related to digoxin therapy.
Correct Answer is D
Explanation
A. Assessing both eyes together first, then separately, is not a typical method for assessing visual acuity in children.
B. Positioning the child 4.6 meters (15 feet) from the chart is not practical for testing visual acuity in a clinical setting.
C. Testing the child without glasses before testing with glasses may be appropriate but is not specifically related to the method of visual acuity assessment.
D. Using a tumbling E chart is appropriate for assessing visual acuity in young children who may not recognize letters. The tumbling E chart uses a series of "E" shapes facing different directions, allowing the child to indicate the direction the "E" is facing, thus assessing visual acuity.
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