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.

Answer and Explanation

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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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A"}}

Explanation

Acute Laryngotracheobronchitis (Croup): This condition typically presents with a barking, seal-like cough and inspiratory stridor due to inflammation of the upper airway, often caused by a viral infection such as parainfluenza virus.

Pneumonia: While irritability and fever can be present in both conditions, the presence of stridor (especially inspiratory) is more characteristic of Acute Laryngotracheobronchitis. Pneumonia typically presents with a productive cough, fever, and signs of lower respiratory tract involvement such as crackles or decreased breath sounds on auscultation.

A. Instruct the parent to give the child an oatmeal bath twice daily. B. Flush the area with cold, running water. C. Administer an oral corticosteroid. D. Apply calamine lotion to the affected area.

Correct Answer is B

Explanation

A. An oatmeal bath can soothe the skin but is not the immediate first step.
B. Flushing the area with cold, running water helps remove the plant oils that cause the reaction and is the first step in managing poison ivy exposure.
C. Administering an oral corticosteroid may be necessary for severe reactions but is not the first action to take.
D. Calamine lotion can help with itching but should be applied after washing off the plant oils.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is assisting with the care of a 3-year-old toddler. Exhibits The nurse is reviewing the collected data. For each finding, click to specify if the finding is consistent with acute laryngotracheobronchitis or pneumonia. Each finding may support more than 1 disease process.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A"}}

Explanation

A nurse is caring for a child who is brought to the urgent care clinic following exposure to poison ivy 1 hr ago. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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