A nurse is caring for a 9-year-old child at a clinic.
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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Calcium is essential for bone health but does not directly prevent neural tube defects.
B. Iron is important for preventing anemia but is not specifically linked to the prevention of neural tube defects.
C. Zinc plays a role in reproductive health but is not specifically related to preventing neural tube defects.
D. Folate (also known as folic acid) is critical for preventing neural tube defects, such as spina bifida, during early pregnancy. It is recommended that women trying to conceive take folic acid supplements before conception and during the first trimester.
Correct Answer is D
Explanation
A. Ibuprofen is not recommended during pregnancy, particularly in the third trimester, due to potential risks to the fetus.
B. Testing the baby’s cord blood is not a standard method to detect HSV transmission.
C. Cortisone cream is not typically used to treat HSV lesions.
D. Cesarean birth is recommended if there are active lesions at the time of labor to prevent neonatal transmission.
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