A nurse is caring for a child who has a hip spica cast. Which of the following actions should the nurse take?
Place the child in a semi-sitting position for meals.
Maintain the child’s lower extremities in a dependent position.
Provide a bedside commode for toileting.
Turn the child every 2 hours.
The Correct Answer is D
Choice A reason: A semi-sitting position for meals is impractical in a hip spica cast, risking discomfort or aspiration; turning every 2 hours prevents pressure injuries. Assuming semi-sitting is correct risks complications, critical to avoid in ensuring safe positioning and care for children in spica casts.
Choice B reason: Maintaining dependent lower extremities increases edema risk in a hip spica cast; turning every 2 hours promotes circulation. Assuming dependent positioning is correct risks swelling, critical to prevent in ensuring proper cast care and comfort for children with hip spica casts.
Choice C reason: A bedside commode is unsuitable for a hip spica cast, which covers the pelvis; bedpans are used. Turning every 2 hours is key. Assuming a commode is appropriate risks impracticality, critical to avoid in ensuring proper toileting and care in spica cast management.
Choice D reason: Turning every 2 hours prevents pressure ulcers and promotes circulation in a child with a hip spica cast, critical for skin integrity and comfort. This ensures proper cast care, reducing complications, supporting healing, and maintaining safety in pediatric orthopedic management.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Discussing communication methods addresses client behaviors but not the caregiver’s stress from constant care. A daycare program offers respite. Focusing on communication risks neglecting caregiver well-being, potentially worsening burnout, critical to avoid in supporting caregivers of Alzheimer’s clients with high care demands.
Choice B reason: Suggesting antipsychotics for the client addresses behavior but not caregiver stress, and is inappropriate without medical evaluation. Daycare provides relief. Assuming medication is the solution risks unnecessary drug use, potentially causing side effects, critical to avoid in supporting caregiver health and client safety.
Choice C reason: Allowing the client time alone is unsafe for Alzheimer’s patients due to wandering risks and does not relieve caregiver stress. Daycare is effective. Assuming alone time helps risks client safety and caregiver burden, critical to prevent in ensuring comprehensive care for Alzheimer’s clients and caregivers.
Choice D reason: Assisting with a daycare program provides respite, reducing caregiver stress and preventing burnout while ensuring client safety. This intervention supports caregiver well-being, critical for sustained care quality, promoting mental health, and enabling effective management of Alzheimer’s disease in home settings with high care demands.
Correct Answer is B
Explanation
Choice A reason: Protective eyewear is not required for MRI; removing transdermal patches prevents burns. Assuming eyewear is needed risks misinformation, potentially causing confusion, critical to avoid in ensuring accurate preparation and safety for clients undergoing MRI scans in diagnostic settings.
Choice B reason: Removing transdermal patches before an MRI prevents burns from metallic components, critical for client safety. This instruction ensures proper preparation, reducing injury risk, supporting safe imaging, and adhering to MRI safety protocols, essential for clients undergoing magnetic resonance imaging procedures.
Choice C reason: Tattoos are generally safe for MRI, though rare risks exist; patches are a greater concern. Assuming tattoos contraindicate MRI risks unnecessary restriction, potentially delaying diagnosis, critical to avoid in ensuring accurate preparation and access to imaging for clients with tattoos.
Choice D reason: Iodine allergy is relevant for CT contrast, not MRI, which uses gadolinium; patches are priority. Assuming iodine allergy contraindicates MRI risks misinformation, potentially delaying imaging, critical to prevent in ensuring proper preparation and safety for clients undergoing MRI scans.
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