A nurse is caring for a 9-year-old client at a clinic.
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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. In traditional Chinese medicine, health is viewed as a balance between yin (cold) and yang (hot) forces. After childbirth (a "cold" state), women typically consume "hot" foods to restore balance.
B. Chinese culture values emotional restraint and modesty; expressive gestures are less common.
C. Pain is often endured quietly as a sign of strength and self-control.
D. Avoiding direct eye contact is a sign of respect, not avoidance.
Correct Answer is C
Explanation
Rationale:
A. Closed-ended questions restrict expression and hinder understanding of the root cause. Open-ended questions encourage communication and collaboration.
B. Allowing defensive responses escalates tension and prevents constructive resolution. The goal is to promote respectful dialogue, not defensiveness.
C. Gathering individual information ensures all perspectives are heard and accurately represented. This helps the manager identify underlying causes, misunderstandings, or emotional concerns before facilitating a joint discussion.
D. Passive listening (such as nodding without engagement) is ineffective in conflict management. Active listening—demonstrating understanding and paraphrasing key points—is necessary for effective resolution.
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