What finding would the nurse assessing the neurovascular status of a child in Russell traction report immediately?
Capillary refill less than 3 seconds
Ability to wiggle toes
Skin that's warm to the touch
Bluish coloration of skin
The Correct Answer is D
A. Capillary refill less than 3 seconds is normal and indicates good perfusion.
B. Ability to wiggle toes indicates intact motor function.
C. Skin that is warm to the touch suggests adequate circulation.
D. Bluish coloration (cyanosis) indicates poor oxygenation and compromised circulation, requiring immediate intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Using a wrist support pad while typinghelps maintain the wrist in a neutral position, reducing compression on the median nerve and helping to prevent carpal tunnel syndrome (CTS).
B. Repetitive wrist flexioncan actually worsen or contributeto the development of CTS, rather than prevent it.
C. Wrapping wrists with elastic bandages is not a preventive strategyfor CTS and may restrict circulation or movementunnecessarily.
D. Warm compresses may soothe discomfortif symptoms occur but do not preventthe development of CTS.
Correct Answer is C
Explanation
A. Complex partial seizures involve impaired consciousness with automatisms, not just staring.
B. Myoclonic seizures are characterized by sudden, brief muscle jerks.
C. Absence seizures cause brief episodes of staring and unresponsiveness, often mistaken for daydreaming, and can impact school performance.
D. Akinetic seizures involve sudden loss of muscle tone, leading to collapse, not staring episodes.
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