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

Exhibits

After reviewing the discharge instructions with the family, which of the following statements by a parent indicate an understanding of the teaching?

For each statement by the parent, click to specify if the statement reflects an understanding or indicates a need for reinforcement of the discharge teaching.

“We should prop the casted arm on pillows for the next 24 hours.”

“It is important that our child avoids placing anything inside the cast.”

“We need to be very careful about how we handle the cast for the first 2 days while it dries.”

“We should notify the provider if the cast becomes loose over time.”

“We should expect the swelling and tingling to worsen before it gets better.”

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Parent Statements Reflecting Understanding:

“We should prop the casted arm on pillows for the next 24 hours.” This demonstrates understanding because elevating the casted arm helps reduce swelling, improve circulation, and increase comfort during the initial period after casting. Proper elevation is an essential part of post-cast care.

“It is important that our child avoids placing anything inside the cast.” This shows correct understanding because inserting objects inside the cast can damage the skin, cause irritation, or lead to infection. Avoiding insertion of objects helps protect the skin and maintain safe healing conditions.

“We need to be very careful about how we handle the cast for the first 2 days while it dries.” This reflects understanding because a cast is still soft and vulnerable immediately after application. Gentle handling ensures the cast maintains proper alignment, which is critical for proper bone healing.

“We should notify the provider if the cast becomes loose over time.” This demonstrates understanding because a loose cast can compromise immobilization, potentially leading to improper healing or displacement of the fracture. Notifying the provider ensures timely correction.

Parent Statements Needing Reinforcement:

“We should expect the swelling and tingling to worsen before it gets better.” This statement indicates a misunderstanding. In a properly casted limb, swelling and tingling should gradually improve, not worsen. Worsening symptoms may suggest neurovascular compromise, which is an urgent condition requiring immediate evaluation by a healthcare provider. Parents need reinforcement that persistent or increasing tingling, numbness, pain, or changes in color of the fingers are warning signs and should not be ignored.

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Correct Answer is C

Explanation

A. This describes blood pressure measurement, not pulse deficit assessment.

B. Comparing carotid pulses in different positions is used to assess for orthostatic changes, not pulse deficit.

C. A pulse deficit is the difference between the apical pulse (central) and radial pulse (peripheral). This measurement helps identify conditions like atrial fibrillation where some heartbeats fail to produce peripheral perfusion.

D. Assessing both radial pulses simultaneously checks for pulse equality between limbs, not for pulse deficit.

A. Abdominal pain B. Hydramnios C. Bradycardia D. Hypertension

Correct Answer is A

Explanation

A. Abdominal pain, often unilateral and sharp, is the classic manifestation of ectopic pregnancy due to implantation of the fertilized ovum outside the uterus (usually in the fallopian tube). If rupture occurs, pain becomes severe and may be accompanied by internal bleeding and shoulder pain.

B. Hydramnios (excess amniotic fluid) occurs in conditions like gestational diabetes, not ectopic pregnancy.

C. Bradycardia is not typical; instead, tachycardia and hypotension can occur with rupture and hemorrhage.

D. Hypertension is unrelated to ectopic pregnancy.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to assess a client for pulse deficit. Which Of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

A nurse is caring for a client who has an ectopic pregnancy. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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