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
Encourage physical activity as tolerated.

Children with sickle cell disease may need occasional rests from classroom activities but should be encouraged to participate in physical activity as tolerated.
Choice A is wrong because cold compresses are not recommended for pain management in sickle cell disease.
Choice C is wrong because there is no need for a child with sickle cell disease to wear a surgical mask to school.
Choice D is wrong because it is important for children with sickle cell disease to drink water throughout the day to avoid dehydration 1.
Correct Answer is A
Explanation

Oral sucrose solution has been shown to have analgesic effects and can help reduce pain and discomfort in infants during procedures such as immunizations.
Choice B is wrong because Use a 20-gauge needle for the injections is not an answer because a 20-gauge needle is larger than the recommended size for infant immunizations.
Choice C is wrong because Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections is not an answer because EMLA cream needs to be applied at least 1 hour before the procedure to be effective.
Choice D is wrong because Inject the immunizations into the deltoid muscle is not an answer because the deltoid muscle is not recommended for infants under 12 months of age.
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