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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Performing passive range-of-motion exercises can cause further bleeding and should be avoided during an acute injury.
B. Applying an ice pack helps to constrict blood vessels, reduce bleeding, and minimize swelling, making it a recommended action for managing injuries in hemophilia.
C. Positioning the injured extremity below the level of the heart can increase blood flow to the area and worsen the bleeding.
D. Administering ibuprofen is not recommended as it can inhibit platelet function and increase the risk of bleeding. Acetaminophen is a safer alternative for pain relief in children with hemophilia.

A. Apply the sensor to the index fingernail. B. Reposition the probe every 2 hr. C. Warm the skin prior to probe placement. D. Tape the wire to the palm of the hand.

Correct Answer is B

Explanation

A. The sensor should be applied to a site where it can provide accurate readings, but not specifically to the fingernail.
B. Repositioning the probe every 2 hours helps prevent skin irritation and ensures accurate readings.
C. Warming the skin prior to probe placement is not necessary and is not standard practice unless the client has circulatory compromise.
D. Taping the wire to the palm of the hand is not necessary and may cause discomfort or interfere with accurate readings.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with the parents of a child who has hemophilia about the care of an injury that causes bleeding. Which of the following instructions should the nurse include in the teaching?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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