A nurse is caring for a preschooler immediately following the application of a long-leg plaster cast due to a fracture. Which of the following actions is the nurse's priority?
Monitor capillary refill of the casted extremity.
Use the palms of the hands when supporting the cast.
Examine the skin at the cast edges.
Instruct the child not to put anything inside the cast.
The Correct Answer is A
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.
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Related Questions
Correct Answer is D
Explanation
Rationale:
A) Placing the child in a forward-facing car seat before the appropriate age and size increases the risk of injury.
B) Placing the child in the front seat, even in a rear-facing car seat, is not recommended due to the risk of airbag deployment.
C) Booster seats are used for older children who have outgrown their forward-facing car seats, but are not yet big enough to use the seat belt properly. Booster seats should be used until the child is at least 4 feet 9 inches tall and between 8 and 12 years old.
D) Placing the child in a rear-facing car seat until age 2 is recommended by safety guidelines to provide optimal protection for the child's head, neck, and spine.
Correct Answer is B
Explanation
Rationale:
A) The parent of the adolescent parent may not have legal authority over the infant's medical decisions.
B) An emancipated adolescent parent typically has the legal authority to provide consent for their child's medical procedures.
C) The infant's provider cannot provide consent on behalf of the adolescent parent.
D) The adult sibling of the adolescent parent does not have legal authority unless designated as a legal guardian.
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