A nurse is caring for a child following an open reduction and internal fixation of a fractured femur and application of a cast. The cast has a window cut in it for viewing of the incision. Which of the following actions should the nurse take first?

Turn the client so the cast will dry on all sides.

Remove the window and view the incision.

Medicate the client for pain.

Perform neurovascular checks of the affected extremity.

Answer and Explanation

The Correct Answer is D

a. Turn the client so the cast will dry on all sides: While ensuring the cast is dry is important, the first priority following a surgical procedure is to assess neurovascular status to detect any

complications.

b. Remove the window and view the incision: Removing the window may compromise the cast's integrity, and the priority is to assess neurovascular status before inspecting the incision.

c. Medicate the client for pain: Pain management is important, but assessing neurovascular status is the initial priority to ensure there are no complications affecting circulation.

d. Perform neurovascular checks of the affected extremity: Neurovascular checks are the priority to detect any signs of impaired circulation or nerve function.

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Correct Answer is C

Explanation

a. Circular, erythematous patches on the scalp: This description is more indicative of tinea capitis, a fungal infection affecting the scalp.

b. Recent exposure to poison ivy: Poison ivy exposure would result in a contact dermatitis rash, not tinea pedis.

c. Scaling and redness between the toes: Tinea pedis, also known as athlete's foot, commonly presents with scaling, redness, and itching between the toes.

d. A recent prescription for an antiseizure medication: Antiseizure medications are not associated with the development of tinea pedis.

A. Three to seven days after menses stops. B. On the same day every month. C. Prior to the beginning of menses. D. On the second day of menstruation.

Correct Answer is A

Explanation

a. Three to seven days after menses stops: Performing BSE a few days after menstruation allows the breasts to return to a more baseline state, reducing the influence of hormonal changes on

breast tissue.

b. On the same day every month: Hormonal changes during the menstrual cycle can affect breast tissue, and performing BSE on the same day every month may not provide consistent conditions for examination.

c. Prior to the beginning of menses: Hormonal changes before menstruation can lead to breast tenderness and changes, potentially affecting the accuracy of the examination.

d. On the second day of menstruation: Hormonal changes and potential breast tenderness during the early days of menstruation may not be the optimal time for BSE.

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A nurse is caring for a child following an open reduction and internal fixation of a fractured femur and application of a cast. The cast has a window cut in it for viewing of the incision. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider’s office is caring for a client who has tinea pedis. Which of the following findings should the nurse expect?

Correct Answer is C

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A nurse is reinforcing teaching about breast self-examination (BSE) with a client who has a regular menstrual cycle. The nurse should instruct the client to perform BSE at which of the following times?

Correct Answer is A

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