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 {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}
Explanation
|
Potential prescription |
Anticipated |
Contraindicated |
|
Bupropion 100 mg PO three times daily |
✓ |
|
|
Levomilnacipran 20 mg PO daily |
✓ |
|
|
Citalopram 20 mg PO daily |
✓ |
|
|
Fluoxetine 20 mg PO daily |
✓ |
Rationale
- Bupropion 100 mg PO three times daily: Contraindicated
- Bupropion is generally contraindicated for clients with a history of bulimia nervosa due to the increased risk of seizures.
- Levomilnacipran 20 mg PO daily: Anticipated
- Levomilnacipran is an SNRI that can be used to treat major depressive disorder and is generally safe for clients with bulimia nervosa.
- Citalopram 20 mg PO daily: Anticipated
- Citalopram is an SSRI commonly used to treat major depressive disorder and can be effective for clients with bulimia nervosa.
- Fluoxetine 20 mg PO daily: Anticipated
- Fluoxetine is an SSRI that is effective in treating both major depressive disorder and bulimia nervosa.
Correct Answer is D
Explanation
A. A 25-gauge needle is too small and inappropriate for accessing a port.
B. An angiocatheter is used for peripheral IV access, not for implanted ports.
C. A butterfly needle is used for venipuncture, not for accessing ports.
D. A noncoring needle (e.g., Huber needle) is specifically designed to access an implanted venous port without causing damage to the septum, preserving the integrity of the port.
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