A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate?

Rationale:

A. Monitoring capillary refill of the casted extremity is crucial for assessing circulation and ensuring there are no complications such as compartment syndrome.

B. While supporting the cast correctly is important, it is not the priority immediately following the application.

C. Examining the skin at the cast edges is important, but it is not the priority immediately following the application.

D. Instructing the child not to put anything inside the cast is important, but it is not the priority immediately following the application.

Rationale:

A) Providing pain medication on a schedule helps maintain comfort and manage pain effectively in a terminally ill adolescent.

B) Limiting visits from siblings may not be necessary unless the adolescent prefers limited visitors or the siblings are unwell.

C) The parent's presence should be based on their preferences and the adolescent's needs, rather than leaving solely when the child needs to rest.

D) The decision to allow the child to die at home should be based on the family's preferences, the adolescent's wishes, and the availability of appropriate support and resources.