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 D
Explanation
A. Hypertension is not a common side effect of desmopressin.
B. Hyperkalemia is not typically associated with desmopressin.
C. Hypoglycemia is not a common side effect of desmopressin, as it is not used to manage blood glucose levels.
D. Desmopressin can cause water retention, leading to dilutional hyponatremia, which is a critical side effect to monitor for in clients receiving the medication.
Correct Answer is C
Explanation
A. Concrete thinking occurs during the concrete operational stage (7-11 years old), where children focus on tangible, real-world situations.
B. Egocentric thinking is characteristic of the preoperational stage (2-7 years old) and is when children have difficulty understanding others’ perspectives.
C. Abstract thinking occurs during adolescence and allows individuals to think hypothetically, reason logically, and understand complex concepts that are not tied to concrete experiences.
D. Preoperational thinking occurs in early childhood (2-7 years old), which is characterized by limited logic and the inability to think abstractly.
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