Exhibits
A nurse is caring for a child who is 2 hr postoperative. Which of the following actions should the nurse take first? (Click the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)
Assess the child's pain level.
Recheck the child's temperature.
Determine the child's sedation level.
Compare the child's pedal pulses.
The Correct Answer is D
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.
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 B
Explanation
A. Unopened bottles of formula are not typically sources of healthcare-associated infections.
B. Bedside computer keyboards can harbor pathogens and serve as fomites for transmitting infections.
C. Disposable diapers are not typically sources of healthcare-associated infections if used appropriately.
D. Protective plastic gowns are not typically sources of healthcare-associated infections if used appropriately.
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