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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Rotavirus vaccination is typically administered in infancy, not at 5 years of age.
B. The second dose of varicella vaccine is usually given at 4-6 years of age.
C. Haemophilus influenzae type b (Hib) vaccination is typically completed by 15 months of age.
D. Hepatitis B vaccination typically starts at birth and is completed in infancy.

A. Assess the child's pain level. B. Recheck the child's temperature. C. Determine the child's sedation level. D. Compare the child's pedal pulses.

Correct Answer is D

Explanation

A. While assessing pain level is important, ensuring adequate perfusion and circulation takes precedence.
B. Rechecking the child's temperature may be necessary but is not as immediately critical as assessing pedal pulses.
C. Determining the child's sedation level is important for monitoring postoperative status but is not the priority at this time.
D. Assessing the child's pedal pulses is crucial following a motor-vehicle crash and surgical procedures involving the lower extremities. It helps to evaluate the perfusion and circulation to the extremities, especially after a leg open reduction and fixation surgery.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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