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
No explanation
Correct Answer is B
Explanation
Correct answer: B Rationale:
A) Impetigo is caused by bacteria, not viruses, so sealing soft toys in a plastic bag is unnecessary.
B) Applying bactericidal ointment to lesions helps kill the bacteria causing impetigo and promotes healing.
C) Soaking hairbrushes in boiling water is not typically necessary for the treatment of impetigo.
D) Acyclovir is an antiviral medication used to treat herpes simplex virus infections, not bacterial infections like impetigo.
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