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 B
Explanation
A. Stevens-Johnson syndrome is a severe adverse reaction associated with certain medications but is not typically associated with prednisolone.
B. Prolonged wound healing is a potential adverse effect of corticosteroid therapy such as prednisolone.
C. Hypotension is not a common adverse effect of prednisolone.
D. Renal failure is not typically associated with prednisolone use.
Correct Answer is D
Explanation
A. Providing a warm blanket can help alleviate discomfort associated with fever and chills, which are common symptoms of varicella.
B. Koplik spots are seen in measles, not varicella.
C. Aspirin administration is contraindicated in varicella due to the risk of Reye's syndrome. Acetaminophen or ibuprofen may be used for fever.
D. Varicella is spread through respiratory droplets, so standard precautions are typically sufficient. Airborne precautions are necessary to prevent transmission.
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