A nurse is caring for a 9-year-old child at a clinic.

Exhibits

Select the 3 priority actions that the nurse should take.

Place a nonadherent dressing on the right knee abrasion.

Administer Ibuprofen 200 mg

Apply ice packs to the fingers and along the right forearm.

Elevate the affected forearm with pillows.

Review cast care instructions with the child's parents.

Explain the cast application procedure to the child.

Answer and Explanation

Correct Answer : B,C,D

A. Place a nonadherent dressing on the right knee abrasion: While minor abrasions should be cleaned and dressed, it is not a priority compared to managing the child's pain and fracture care.

B. Administer Ibuprofen 200 mg: Ibuprofen is an appropriate analgesic and anti-inflammatory medication to manage the child's pain (rated 5/10) and reduce swelling. Prompt pain relief is essential for the child’s comfort.

C. Apply ice packs to the fingers and along the right forearm: Applying ice helps reduce edema, pain, and inflammation at the fracture site. It also minimizes soft tissue damage.

D. Elevate the affected forearm with pillows: Elevating the arm helps reduce swelling and promotes venous return, which is essential for minimizing discomfort and preventing complications like compartment syndrome.

E. Review cast care instructions with the child's parents: Reviewing cast care is essential but should be done after the cast is applied, not at this stage of care.

F. Explain the cast application procedure to the child: This is important but not an immediate priority. The nurse should first address pain, swelling, and proper limb positioning before discussing the procedure.

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Correct Answer is D

Explanation

A. A face shield is unnecessary unless there is a risk of splashing.

B. Masks are not needed for C. difficile, as it is not spread through airborne transmission.

C. Alcohol-based hand rubs are ineffective against C. difficile spores; handwashing with soap and water is required.

D. Contact precautions for C. difficile require the nurse to remove the protective gown and gloves inside the client's room to prevent contamination of outside areas.

A. Confusion B. Acetone breath C. Polydipsia D. Hot, dry skin

Correct Answer is A

Explanation

A. Confusion is a key symptom of hypoglycemia due to the brain's lack of glucose.

B. Acetone breath is associated with diabetic ketoacidosis (DKA), a hyperglycemic state.

C. Polydipsia (increased thirst) is a sign of hyperglycemia, not hypoglycemia.

D. Hot, dry skin is a sign of hyperglycemia or dehydration.

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A nurse is caring for a 9-year-old child at a clinic. Exhibits Select the 3 priority actions that the nurse should take.

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A nurse is caring for a 9-year-old child at a clinic.

Exhibits

Select the 3 priority actions that the nurse should take.