A nurse is reinforcing discharge teaching with the guardian of a preschooler who has a fiberglass arm cast. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will make sure my child's arm doesn't hang down for more than 30 minutes."
"It is okay to submerge the cast for 5 minutes during my child's bath time."
"I will ensure my child avoids moving their fingers while the cast is in place."
"It is okay to use a pencil to scratch inside my child's cast."
The Correct Answer is A
A. Ensuring the child’s arm doesn’t hang down for extended periods can help prevent swelling and discomfort.
B. Submerging a fiberglass cast can damage the material and is not recommended.
C. It is important to encourage the child to move their fingers to maintain circulation and prevent stiffness.
D. Using a pencil to scratch inside the cast can cause injury or damage to the skin and should be avoided.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Giving small amounts of oral rehydration solution frequently helps to prevent dehydration without overwhelming the child's stomach. This method is effective in rehydrating the child gradually and is well tolerated.
B. Fruit juices, especially those high in sugar, can worsen diarrhea and dehydration. They are not recommended for rehydration in cases of gastrointestinal infections.
C. While bananas and rice are part of the BRAT diet and can be included in meals, they do not address the immediate need for rehydration as effectively as oral rehydration solutions.
D. Promethazine is an antiemetic that is not typically indicated for mild dehydration and can have sedative side effects. Oral rehydration is the priority in managing mild dehydration.
Correct Answer is C
Explanation
A. Capillary refill of 2 seconds is normal and does not indicate decreased cardiac output.
B. Warm extremities are a positive sign, indicating good perfusion.
C. Diminished pulses can indicate decreased cardiac output, suggesting inadequate perfusion to the extremities.
D. The blood pressure reading provided is within normal limits for a preschool-aged child and does not indicate decreased cardiac output.
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