A child with a cast is at risk for complications. Which of the following assessment findings should the nurse prioritize in ensuring safety and infection control?

Temperature of the cast

Skin integrity around the cast

Range of motion of the affected limb

Child's pain level

Answer and Explanation

The Correct Answer is B

A.   The temperature of the cast is important to check for heat retention but is not the first priority for infection control.
B.   Assessing skin integrity around the cast is a priority to detect signs of infection, irritation, or pressure sores.
C.   Range of motion is important but should be assessed once the skin and safety around the cast are ensured.
D.   While pain level is important, ensuring skin integrity is a higher priority for preventing complications such as infection.

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Correct Answer is C

Explanation

A. Avoiding oral feedings may not be necessary unless there are specific complications. The focus should be on preventing aspiration, but not necessarily withholding feedings.
B. Direct pressure should not be applied to the surgical site unless directed by a provider, as this could cause further complications.
C. Frequent diaper changes and keeping the incision site clean and dry is essential to prevent infection and protect the surgical site.
D. The infant should be positioned according to the provider's orders to avoid pressure on the surgical site and spinal cord, but lying flat may not always be necessary.

A. Manages nausea and vomiting B. Eliminates excess iron C. Decreases the risk of hypoxia D. Treats the disease

Correct Answer is B

Explanation

A. Chelation therapy does not stimulate hemoglobin production; it primarily targets iron overload, which can occur due to repeated transfusions.
B. Chelation therapy helps remove excess iron from the body, which accumulates due to frequent blood transfusions required in children with thalassemia.
C. Chelation therapy does not stimulate RBC production. It addresses the issue of iron overload.
D. Chelation therapy does not prevent infections. It is specifically used to treat iron overload in thalassemia patients.

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A child with a cast is at risk for complications. Which of the following assessment findings should the nurse prioritize in ensuring safety and infection control?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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