A nurse is preparing to assist with applying a cast to a preschooler’s arm. Which of the following actions should the nurse take?
Support the casted arm with a firm grasp.
Place a heated fan at the bedside to facilitate drying.
Tell the child, “This will make your arm feel better.”.
Wrap the arm of the child’s doll or toy prior to the procedure.
The Correct Answer is A
Choice A rationale
Supporting the casted arm with a firm grasp is important to prevent unnecessary movement and potential discomfort or injury to the child. It also helps in ensuring the correct positioning of the cast.
Choice B rationale
Placing a heated fan at the bedside to facilitate drying is not recommended. Excessive heat can cause discomfort and potential burns to the child. The cast should be allowed to dry naturally.
Choice C rationale
Telling the child that the cast will make their arm feel better can be misleading. While the cast is necessary for healing, it may cause discomfort and itching. It’s important to explain to the child what the cast is for and what to expect.
Choice D rationale
Wrapping the arm of the child’s doll or toy prior to the procedure can help the child understand what is happening and make them feel more comfortable. However, this action alone is not sufficient in preparing to apply a cast to a preschooler’s arm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Uterine atony refers to a soft and weak uterus after childbirth. It happens when your uterine muscles don’t contract enough to clamp the placental blood vessels shut after childbirth. This can lead to life-threatening blood loss after delivery. One of the causes of uterine atony is urinary retention. When the bladder is full, it can displace the uterus, preventing it from contracting properly. This can lead to uterine atony and postpartum hemorrhage. Therefore, urinary retention can cause uterine atony and lateral displacement of the fundus.
Choice B rationale
Poor involution of the uterus is a condition where the uterus does not return to its normal size after childbirth. While poor involution can lead to prolonged bleeding, it does not directly cause uterine atony. Uterine atony is specifically a lack of muscle contraction, while poor involution is a failure of the uterus to reduce in size.
Choice C rationale
While infection can lead to many complications during the postpartum period, it is not a direct cause of uterine atony. Infections can cause endometritis, which is inflammation of the uterine lining, but this does not prevent the uterus from contracting.
Choice D rationale
Hemorrhage, or heavy bleeding, is a result of uterine atony, not a cause. When the uterus does not contract properly after childbirth, it can lead to excessive bleeding, or hemorrhage.
Correct Answer is D
Explanation
Choice A rationale
White breads and rice are not particularly high in calcium and would not be the best source of calcium for a client who does not like milk.
Choice B rationale
Meat, poultry, and fish can contain some calcium, but they are not the best source of calcium for a client who does not like milk.
Choice C rationale
Deep red or orange vegetables, while nutritious, are not particularly high in calcium.
Choice D rationale
Dark green, leafy vegetables are a good source of calcium. For a client who is in the 8th week of gestation and does not like milk, these vegetables would be a good alternative source of calcium.
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