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 B
Explanation
Deep-breathing and counting exercises can help the child relax and cope with anxiety before the procedure.
Choice A is wrong because a 30-minute teaching session may not be necessary or appropriate for a school-age child.
Choice C is wrong because it’s important to use clear and honest language when explaining the procedure to the child.
Choice D is wrong because it’s important to explain the procedure to the child in a calm and quiet environment, not in the playroom.
Correct Answer is D
Explanation
Overtiredness is a commonly reported seizure trigger for school-age children with a seizure disorder.
Choice Ais wrong because prolonged headache is not mentioned as a common trigger for seizures.
Choice B is wrong because exposure to secondhand smoke is not mentioned as a common trigger for seizures.
Choice Cis wrong because decreased temperature is not mentioned as a common trigger for seizures.
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