The nurse is conducting teaching to parents of a 7-year-old child who fractured an arm and is being discharged with a cast. Which instruction would be included in the teaching?
Elevate casted arm when resting and when sitting up.
Immobilize the shoulder to decrease pain in the arm.
Swelling of the fingers is to be expected for the next 48 hours.
Allow the affected limb to hang down for 1 hour each day.
The Correct Answer is A
A. Elevating the casted arm helps reduce swelling and promotes circulation. The arm should be elevated above the heart level when resting to minimize swelling.
B. Immobilizing the shoulder is unnecessary unless specifically instructed, as immobilizing the shoulder is not required for most arm fractures.
C. Swelling of the fingers can occur with a cast, but it should not last longer than 24 hours. Prolonged swelling should be reported.
D. Allowing the limb to hang down may increase swelling and should be avoided.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hypotension is the most critical finding in dehydration, as it indicates severe fluid loss and can lead to shock. Immediate intervention is required to address the circulatory compromise.
B. Tachypnea is a compensatory response to dehydration and may not require as immediate attention as hypotension.
C. Hyperpyrexia (high fever) can occur in gastroenteritis but is less urgent compared to hypotension.
D. Skin breakdown is a concern in dehydrated patients, but hypotension poses a more immediate threat to life.
Correct Answer is B
Explanation
A. The CRIES scale is used for neonates and infants, not toddlers.
B. The FACES pain rating scale is appropriate for children aged 3 years and older, allowing them to express their pain visually through faces showing different expressions.
C. The Noncommunicating children's pain checklist is used for older children with communication impairments.
D. The Numeric pain rating scale is more suitable for older children and adults who can understand and use numbers to rate pain.
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