nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following actions is best for the nurse to take?
Perform a neurovascular assessment.
Provide reassurance to the client and parents.
Apply an ice pack to the casted leg.
Explain the discharge instructions to the client and parents.
The Correct Answer is A
A. Perform a neurovascular assessment: This is the correct answer. After a cast is applied, it’s crucial to regularly assess the client’s neurovascular status (sensation, movement, temperature, color, and capillary refill) to ensure that the cast is not too tight and that circulation is not compromised.
B. Provide reassurance to the client and parents: While this is important, the immediate priority is to ensure the client’s physical well-being.
C. Apply an ice pack to the casted leg: This can help reduce swelling and pain, but it’s not the immediate priority. The nurse first needs to ensure that the cast is not compromising circulation or nerve function.
D. Explain the discharge instructions to the client and parents: This is typically done later, closer to the time of discharge. The immediate priority is to assess the client’s physical condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The total number of units of insulin that the nurse should prepare in the insulin syringe is the sum of the units of regular insulin and NPH insulin.
So, the total units = 14 units (regular insulin) + 28 units (NPH insulin) = 42 units.
Therefore, the correct answer is C. “42 units.”
Correct Answer is B
Explanation
A. Induce vomiting with syrup of ipecac: This is not recommended because it can lead to further complications, such as aspiration pneumonia.
B. Perform gastric lavage with activated charcoal: This is the correct answer. Activated charcoal can bind to acetylsalicylic acid (commonly known as aspirin) in the stomach and intestines to prevent the body from absorbing it, which can help to reduce the severity of an overdose.
C. Initiate chelation therapy with deferoxamine: This is used to treat iron poisoning, not acetylsalicylic acid overdose.
D. Administer N-acetylcysteine: This is used as an antidote for acetaminophen (Tylenol) overdose, not for acetylsalicylic acid.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.