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
The proof of pregnancy is in the pregnancy test.
A positive office pregnancy test would confirm the pregnancy.
Choice A, Chadwick’s sign, is not correct because it is not a definitive sign of pregnancy.
Choice B, Hegar’s sign, is also not correct because it is not a definitive sign of pregnancy.
Choice D, Fetal movement felt by the examiner, is not correct because it is not a definitive sign of pregnancy.
Correct Answer is A
Explanation
Childhood obesity is a serious medical condition that can lead to health problems that were once considered adult problems, such as diabetes, high blood pressure, and high cholesterol.
Choice B, Hypotension, is incorrect because it refers to low blood pressure, which is not a common complication of childhood obesity.
Choice C, Rheumatoid arthritis, is incorrect because it is an autoimmune disorder that is not directly related to childhood obesity.
Choice D, Attention-deficit/hyperactivity disorder (ADHD), is incorrect because it is a neurodevelopmental disorder that is not directly related to childhood obesity.
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