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 it is not the priority over monitoring for circulation and potential complications.
B. Restricting strenuous activities is important for preventing damage to the cast, but it is not the priority over monitoring for circulatory compromise.
C. Monitoring for pallor or swelling in the child's affected hand is the priority because it indicates potential circulatory compromise, which is a critical concern following cast application.
D. Using a hair dryer on a cool setting to relieve itching is a helpful suggestion, but it is not the priority over monitoring for potential complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A low hemoglobin level indicates anemia, which is common in leukemia but does not necessarily indicate treatment effectiveness.
B. A low platelet count is a sign of bone marrow suppression, which is a common side effect of chemotherapy for leukemia.
C. A normal RBC count indicates that the child's bone marrow is producing enough red blood cells to carry oxygen throughout the body.
D. Elevated WBC count is typical in leukemia and does not necessarily indicate treatment effectiveness.
Correct Answer is ["12.5"]
Explanation
To answer this question, we need to perform some calculations. First, we need to convert the child's weight from pounds to kilograms. To do this, we multiply 55 lb by 0.4536 kg/lb, which gives us 24.948 kg. Next, we need to find out how much ibuprofen the child needs in milligrams. To do this, we multiply 10 mg/kg by 24.948 kg, which gives us 249.48 mg. Finally, we need to find out how many milliliters of ibuprofen solution the nurse should administer. To do this, we use the formula:
(mg of ibuprofen) / (mg/mL of ibuprofen solution) = mL of ibuprofen solution
Substituting the values, we get:
(249.48 mg) / (100 mg/5 mL) = 12.474 mL
Rounding to the nearest tenth, the answer is 12.5 mL. Therefore, the nurse should administer 12.5 mL of ibuprofen solution to the child.
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