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. 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.
Correct Answer is C
Explanation
A. Meperidine is not recommended for pain management in sickle cell crisis due to the risk of seizures and neurotoxicity. Fever should be managed with antipyretics like acetaminophen.
B. Increasing, not decreasing, daily oral fluid intake is important to help reduce blood viscosity and prevent further sickling of red blood cells.
C. Maintaining bed rest helps to reduce oxygen demand and prevent hypoxemia, which can exacerbate the vaso-occlusive crisis.
D. Applying cold compresses is not recommended as it can cause vasoconstriction and worsen the pain. Warm compresses are more appropriate for managing pain in sickle cell crisis.
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