A nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following is the priority action for the nurse to take?
Provide reassurance to the client and parents.
Perform a neurovascular assessment.
Apply an ice pack to the casted leg
Explain the discharge instructions to the client and parents.
The Correct Answer is B
A. Provide reassurance to the client and parents: While reassurance is important, it is not the priority action when caring for an adolescent client with a newly applied fiberglass cast for a fractured tibia. Ensuring adequate neurovascular status is critical to prevent complications associated with impaired circulation or nerve function.
B. Perform a neurovascular assessment: This is the correct action and the priority when caring for a client with a newly applied cast. The nurse should assess the client's neurovascular status by evaluating circulation, sensation, and movement distal to the casted limb. Changes in color, temperature, sensation, or movement could indicate impaired circulation or nerve function, which require immediate intervention to prevent complications such as compartment syndrome.
C. Apply an ice pack to the casted leg: While applying ice may help reduce swelling and discomfort, it is not the priority action when caring for a client with a newly applied cast. Additionally, applying ice directly to the cast may not effectively reach the skin and underlying tissues, potentially causing discomfort without providing significant benefit.
D. Explain the discharge instructions to the client and parents: Providing discharge instructions is important for client education, but it is not the priority action immediately after applying a cast. Ensuring the client's safety and well-being by performing a neurovascular assessment takes precedence to identify and address any potential complications associated with the cast.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["175"]
Explanation
We are asked to calculate the dosage of cephazolin for a 1-month-old infant based on their weight.
Steps to solve: 1. Identify the given values:
- Dose per kg = 50 mg/kg
- Weight of the infant = 3500 g
2. Set up the formula: Dosage (mg) = Dose per kg (mg/kg) × Weight (kg)
3. Since the weight is given in grams, convert it to kilograms: 3500 g / 1000 g/kg = 3.5 kg
4. Substitute the known values into the formula and calculate: Dosage (mg) = 50 mg/kg × 3.5 kg Dosage (mg) = 175 mg
5. Round the answer to the nearest tenth: Dosage (mg) = 175.0 mg
The nurse should administer 175.0 mg of cephazolin per dose.
Correct Answer is D
Explanation
A. Take the medication with meals: Beclomethasone is an inhaled corticosteroid used to prevent asthma symptoms. It should be taken as prescribed by the healthcare provider, usually inhaled at specific times each day. Taking the medication with meals is not necessary, as it does not affect its efficacy or absorption.
B. Check the pulse after medication administration: Checking the pulse is not typically indicated after administering inhaled beclomethasone. Beclomethasone is a corticosteroid inhaler used for long-term control of asthma symptoms and is not associated with significant cardiovascular effects that would necessitate pulse monitoring.
C. Limit caffeine intake: Limiting caffeine intake is not specifically related to the administration of inhaled beclomethasone. However, caffeine can exacerbate some asthma symptoms in susceptible individuals, so general advice to limit caffeine intake may be beneficial for managing asthma symptoms overall. Still, it's not directly related to the administration of this medication.
D. Rinse the mouth after administration: This is the correct action. Inhaled corticosteroids like beclomethasone can cause local side effects such as oral candidiasis (thrush) or dysphonia (hoarseness) due to deposition of the medication in the mouth and throat. Rinsing the mouth with water after each dose helps minimize these side effects by reducing the amount of medication left in the mouth, thereby decreasing the risk of oral candidiasis and other local adverse effects.
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