A 5-year-old with an arm cast from a fractured wrist complains of itching under his cast. The nurse knows cast care teaching for the parent has been successful when the parent states:

I can use a cool air dryer to help circulate air to relieve the itch.

I can use a hot air dryer to help circulate air to relieve the itch.

"I can use a damp towel to trickle water into the cast to relieve the Itch."

"I can use a plastic hanger to slide into the cast to relieve the Itch."

Answer and Explanation

The Correct Answer is A

This statement demonstrates an understanding of proper cast care for itch relief. Using a cool air dryer on a low setting can help circulate air and provide relief from itching under the cast. It is important not to use a hot air dryer as it may cause discomfort, skin irritation, or burn. Trickling water or inserting objects into the cast can lead to moisture accumulation and potential complications.

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Correct Answer is B

Explanation

A blood glucose level of 40 mg/dL indicates severe hypoglycemia, which is a medical emergency requiring immediate attention. Hypoglycemia can lead to confusion, altered mental status, seizures, and loss of consciousness if not treated promptly. Therefore, it is crucial to assess and intervene quickly to raise the patient's blood glucose level to a safe range.

While the other clients mentioned also require attention and appropriate care, the severity and immediate risk associated with severe hypoglycemia make it the priority situation. The nurse should initiate appropriate treatment for hypoglycemia, such as administering glucose or glucagon, and closely monitor the patient's response.

A. Neutrophils: 3,000mm (3,000 to 5,800mm) B. WBC: 14,000/mm (5,000-10,000/mm) C. RBCs: 42 million/mm (4,000 to 55 million/mm) D. Lactic acid level: 0.5 mmol/L (normal: 0.5 mmol/L

Correct Answer is B

Explanation

In a child with acute appendicitis, it is common to observe an elevated white blood cell count (WBC) as a response to the infection or inflammation associated with the condition. The neutrophil count may be within the lower end of the normal range or slightly decreased, as it can be affected by the severity and duration of the appendicitis. The red blood cell count (RBC) appears to be within the normal range. The lactic acid level is normal, indicating no significant metabolic acidosis.

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A 5-year-old with an arm cast from a fractured wrist complains of itching under his cast. The nurse knows cast care teaching for the parent has been successful when the parent states:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After a change-of-shift report, which client should the nurse assess first?

Correct Answer is B

Explanation

A nurse is caring for a child who has acute appendicitis. Which of the following results should the nurse anticipate when reviewing the patient's laboratory values?

Correct Answer is B

Explanation

A school nurse is performing screening examinations for scoliosis. Which signs of scoliosis should the nurse assess for?

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