A nurse is caring for a 13-year-old with a tibia, fibula fracture, what is the priority assessment after a cast has been applied?

Assess the client's ability to use crutches

Assess the client's body image

Assess for worsening pain in the affected limb

Assess range of motion of the knee and hip

Answer and Explanation

The Correct Answer is C

A.   This is important for mobility, but after casting, the priority is to monitor for complications such as compartment syndrome, which can be life-threatening if not addressed.
B.   While body image and emotional well-being are important, the priority immediately following a fracture and cast placement is physical monitoring for complications.
C.   Worsening pain after a fracture or cast placement may indicate complications such as compartment syndrome, a medical emergency that requires prompt intervention. Monitoring for signs of increased pain is crucial.
D.   Range of motion is a later consideration after ensuring the child does not have complications such as compartment syndrome. The priority is evaluating the affected limb for issues like worsening pain or signs of nerve damage.

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Correct Answer is C

Explanation

A. Using antibacterial soap may be too harsh and could irritate the skin.
B. Expressing comedones (popping pimples) is not recommended as it can lead to scarring and infection.
C. Cleaning the face gently with a mild soap is appropriate for managing acne and preventing irritation.
D. Although diet can affect acne in some cases, avoiding foods like French fries and chocolate is not a proven method for acne control.

A. Edema with normal or low BP B. Edema with hypertension C. Unexpected weight loss D. Frequency and urgency

Correct Answer is A

Explanation

A. Edema with normal or low BP is correct. In nephrotic syndrome, fluid retention leads to edema, and blood pressure is typically normal or low due to the loss of protein in the urine and reduced plasma oncotic pressure.
B. Edema with hypertension is less common in nephrotic syndrome but may occur in cases with significant fluid retention or other complications.
C. Unexpected weight loss is incorrect. Weight gain due to fluid retention is a hallmark of nephrotic syndrome.
D. Frequency and urgency are not common symptoms of nephrotic syndrome; these are more typical of urinary tract infections.

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A nurse is caring for a 13-year-old with a tibia, fibula fracture, what is the priority assessment after a cast has been applied?

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Naxlex Comprehensive Predictor Exams

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Explanation

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