A nurse is caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand.
Which of the following findings should the nurse report immediately to the charge nurse?
The child is not attempting to move her right arm or fingers.
The fingertips of the right hand are swollen and bruised.
The fingers on the right hand have a capillary refill of 4 seconds.
The parent reports the child will not keep the arm elevated on the pillow.
The Correct Answer is C
A nurse caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand should report immediately to the charge nurse if the fingers on the right hand have a capillary refill of 4 seconds.
This could indicate that there is a problem with circulation.
Choice A is not an answer because it is not unusual for a child to not attempt to move her right arm or fingers after having a cast applied.
Choice B is not an answer because it is not unusual for the fingertips of the right hand to be swollen and bruised after having a cast applied.
Choice D is not an answer because it is not unusual for a child to not keep their arm elevated on a pillow after having a cast applied.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Symmetry of the hips is a normal finding and is not a sign of developmental hip dysplasia.
Choice A is not correct because limited abduction of the affected hip is a sign of developmental hip dysplasia.
Choice B is not correct because it includes all the other choices.
Choice D is not correct because shortening of the femur can be a sign of developmental hip dysplasia.
Correct Answer is C
Explanation
A complete fracture is when the bone breaks into two or more separate pieces.
This is in contrast to an incomplete fracture, where the bone is only partially broken.
A spiral fracture is a type of complete fracture that occurs when a long bone is twisted with force.
A greenstick fracture is a type of incomplete fracture that occurs when a bone bends and cracks but does not break completely.
Choice A, Spiral, is incorrect because it refers to a specific type of complete fracture that occurs when a long bone is twisted with force.
Choice B, Incomplete, is incorrect because it refers to a type of fracture where the bone is only partially broken.
Choice D, Greenstick, is incorrect because it refers to a specific type of incomplete fracture that occurs when a bone bends and cracks but does not break completely.
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