A nurse is caring for a school-age child following the application of a cast to a fractured right tibia.
Which of the following actions should the nurse take first?
Elevate the child's leg.
Administer pain medication.
Petal the edges of the cast.
Teach the child about cast care.
The Correct Answer is A
The first action the nurse should take is to elevate the child’s leg.
This is choice A. Elevating the child’s leg can help reduce swelling and improve circulation.
After elevating the child’s leg, the nurse can then administer pain medication (choice B), petal the edges of the cast (choice C), and teach the child about cast care (choice D).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
During a seizure, it is important to clear the area around the person of anything hard or sharp to prevent injury.
Choice A is wrong because Minimize movement of the limbs, is not a recommended action during a seizure as it is important not to hold the person down or try to stop their movements.
Choice B is wrong because Insert a tongue blade between the teeth, is not a recommended action during a seizure as it is important not to put anything in the person’s mouth.
Choice D is wrong because Place the child in a prone position, is not a recommended action during a seizure as it is important to turn the person gently onto one side to help them breathe.
Correct Answer is ["A","B","D"]
Explanation
A. Offer the infant a pacifier during feedings.
B. Check for residual volumes by aspirating stomach contents.
D. Instill the formula over a period of 30 to 45 min.
Offering the infant a pacifier during feedings can help promote non-nutritive sucking and provide comfort to the infant.
Checking for residual volumes by aspirating stomach contents can help monitor gastric emptying and tolerance to enteral feeding.
Instilling the formula over a period of 30 to 45 min can help prevent overfeeding and reduce the risk of aspiration.
Choice C is wrong because placing the infant in a supine position during feedings increases the risk of aspiration.
The infant should be placed in an upright or semi-upright position during feedings.
Choice E is wrong because heating the formula to 39° C (102° F) prior to administration is not necessary and may even be harmful if the formula is overheated.
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