A nurse is caring for a toddler who had a plaster spica cast applied 6 hr ago. Which of the following actions is the nurse's priority?
Check the color and temperature of the toddler's toes.
Apply cushioning to the edge of the cast using adhesive tape.
Use a fan to circulate air around the cast.
Reposition the toddler every 2 hr.
The Correct Answer is A
A. Checking the color and temperature of the toes helps assess for adequate circulation and potential complications like compartment syndrome.
B. Applying cushioning to the cast edges is important for comfort but is not the immediate priority.
C. Using a fan can help the cast dry faster but is not the priority action.
D. Repositioning the toddler is important to prevent pressure sores, but ensuring proper circulation takes precedence.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Performing passive range-of-motion exercises can cause further bleeding and should be avoided during an acute injury.
B. Applying an ice pack helps to constrict blood vessels, reduce bleeding, and minimize swelling, making it a recommended action for managing injuries in hemophilia.
C. Positioning the injured extremity below the level of the heart can increase blood flow to the area and worsen the bleeding.
D. Administering ibuprofen is not recommended as it can inhibit platelet function and increase the risk of bleeding. Acetaminophen is a safer alternative for pain relief in children with hemophilia.
Correct Answer is ["30"]
Explanation
To calculate the dosage of ibuprofen in milliliters for a 24-hour period, we start by determining the total milligrams required per day. Since the prescription is for 200 mg every 8 hours, the child will need three doses in 24 hours (200 mg x 3 = 600 mg). Next, we convert the total milligrams into milliliters using the concentration provided. The formula is: (Total mg needed / Concentration of mg) x Volume of each concentration = Total mL. Plugging in the numbers: (600 mg / 100 mg) x 5 mL = 30 mL.
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