The nurse is providing education to parents of a 7-year-old child who fractured an arm and is being discharged with a cast. Which instruction should be included in the teaching?
"Swelling of the fingers is to be expected for the next 72 hours."
"Call or return to the clinic if the fingers change color or get cool."
"Immobilize the shoulder to decrease pain in the arm."
"Allow the affected limb to hang down for one hour each day."
The Correct Answer is B
Rationale:
A. Persistent or worsening swelling may indicate compromised circulation and should not be considered normal.
B. Coolness and color change can signal impaired circulation, a sign of potential complications like compartment syndrome.
C. Immobilizing the shoulder unnecessarily can lead to stiffness and decreased range of motion.
D. Letting the limb hang can increase swelling and is not recommended. The limb should be elevated to reduce swelling.
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Related Questions
Correct Answer is ["A","B","C"]
Explanation
Rationale:
A. Docusate sodium is a stool softener often used in children with cerebral palsy due to decreased mobility and frequent constipation.
B. Diazepam is a benzodiazepine used to reduce muscle spasticity and seizures in cerebral palsy.
C. Baclofen is a muscle relaxant commonly used to manage spasticity in patients with cerebral palsy. It can be given orally or via intrathecal pump.
D. Methylphenidate is a stimulant used primarily for ADHD and is not a typical treatment for cerebral palsy itself.
E. Atropine is an anticholinergic medication not typically used in the routine management of cerebral palsy.
Correct Answer is A
Explanation
Rationale:
A. Infants with myelomeningocele are at risk for hydrocephalus, so daily head circumference is essential to monitor for increased intracranial pressure. Monitoring intake and output is important due to the risk of neurogenic bladder, and assessing parent-infant bonding supports emotional development and attachment.
B. Saline gavage and chest physiotherapy are not typical interventions unless respiratory issues are present.
C. While urinary catheterization might be needed, the Glasgow Coma Scale is not routinely used for infants unless there's a neurologic crisis.
D. Contact isolation is not standard unless there’s an infection. Renal checks are important but not complete enough without other key care plan components.
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