After surgery for the correction of bilateral congenital clubfeet, an infant returns with bilateral long-leg casts. The toes on both feet are edematous, yet there is color, sensitivity, and movement. What is the most appropriate action by the nurse?
Apply a warm, moist pack to the feet.
Call the healthcare provider to report the edema.
Elevate the legs on pillows.
Encourage movement of the toes.
The Correct Answer is C
Choice A reason: Applying a warm, moist pack is not the most appropriate action as it may increase swelling and does not address the underlying cause of the edema.
Choice B reason: While it is important to report significant changes to the healthcare provider, mild edema post-surgery can be expected and managed with elevation.
Choice C reason: Elevating the legs on pillows can help reduce edema by promoting venous return and decreasing swelling.
Choice D reason: Encouraging movement of the toes is beneficial for circulation and preventing stiffness, but it is not the primary intervention for edema. Elevation is more effective in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Adolescents are capable of more complex thinking and are less likely to view illness as a punishment for misdeeds.
Choice B reason: Infants do not have the cognitive ability to associate illness with punishment.
Choice C reason: This is the correct choice. Preschool-age children often engage in magical thinking and may view illness as a punishment for misdeeds.
Choice D reason: School-age children are beginning to understand the biological causes of illness and are less likely to view it as a punishment.
Correct Answer is C
Explanation
Choice A reason: While vitamin C in juices can enhance iron absorption, they are not sufficient sources of iron by themselves.
Choice B reason: Cow's milk can interfere with iron absorption and is not recommended in high quantities for a child with anemia.
Choice C reason: This is the correct choice. These foods are rich in iron, which is essential for treating anemia.
Choice D reason: These are healthy options but do not provide the necessary iron content to effectively address anemia.
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