A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take?

Place a heated fan at the bedside to facilitate drying.

Support the casted arm with a firm grasp.

Tell the child, "This will make your arm feel better."

Wrap the arm of the child's doll or toy prior to the procedure.

Answer and Explanation

The Correct Answer is D

A. Place a heated fan at the bedside to facilitate drying: Using a heated fan can increase the risk of burns to the child's skin underneath the cast. The drying process for a cast should occur naturally, and artificial heat sources should not be used.

B. Support the casted arm with a firm grasp: While it's important to support the child's arm during the casting procedure, doing so with a firm grasp may not be necessary or appropriate. The nurse should follow the orthopedic surgeon's instructions regarding the positioning and support of the arm during casting.

C. Tell the child, "This will make your arm feel better": This statement may not accurately reflect the purpose of the cast, as casting is typically done to immobilize and protect the injured limb during the healing process. It's important to provide developmentally appropriate explanations to children about medical procedures, but this particular statement may not be helpful or accurate in this context.

D. Wrap the arm of the child's doll or toy prior to the procedure: This action helps familiarize the child with the procedure and can serve as a form of therapeutic play. By involving the child's toy or doll, the nurse can help reduce anxiety and fear associated with the casting procedure. It also provides an opportunity for the child to understand what will happen to their own arm, promoting a sense of familiarity and control over the situation.

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Correct Answer is B

Explanation

A. "I want to learn how to empty my child's urinary catheter bag."

This statement indicates a misunderstanding of the child's condition. Hirschsprung disease affects the large intestine and does not typically require a urinary catheter. Therefore, this statement does not demonstrate an understanding of the teaching.

B. "I'm glad that my child's ostomy is only temporary."

This statement indicates an understanding of the teaching. Hirschsprung disease can sometimes require the creation of a temporary ostomy as part of the surgical treatment. Recognizing that the ostomy is temporary reflects comprehension of the planned treatment.

C. "I’m glad my child will have normal bowel movements now."

This statement reflects a misunderstanding of the surgical treatment for Hirschsprung disease. While surgery can improve bowel function, it may not result in completely normal bowel movements. Therefore, this statement does not demonstrate an accurate understanding of the teaching.

D. "I want to learn how to use my child's feeding tube as soon as possible."

Hirschsprung disease and its surgical treatment typically do not involve the use of a feeding tube. Therefore, this statement indicates a misunderstanding of the child's condition and the planned treatment.

A. A semi-private room with a roommate who has a similar diagnosis B. A private room close to the nursing station C. A private room in a quiet location on the unit D. A seclusion room until the client's activity level becomes more subdued

Correct Answer is B

Explanation

A. A semi-private room with a roommate who has a similar diagnosis. Placing a client experiencing a manic episode in a semi-private room with another client who also has a similar diagnosis could potentially exacerbate symptoms or lead to conflict. Manic clients may have increased energy levels, impulsivity, and decreased need for sleep, which could disrupt the roommate's rest and compromise their safety.

B. A private room close to the nursing station. Assigning a private room close to the nursing station is the most appropriate option for a client in the manic phase of bipolar disorder. This allows for closer monitoring and supervision by nursing staff, as well as easier access for interventions and assistance when needed. It also helps to minimize stimulation and provide a more controlled environment for the client.

C. A private room in a quiet location on the unit. While a quiet location may be beneficial for some clients, a private room close to the nursing station offers better access to supervision and support from staff, which is particularly important for clients experiencing mania. Additionally, a quiet location may not always be feasible in a busy psychiatric unit.

D. A seclusion room until the client's activity level becomes more subdued. Using a seclusion room should only be considered as a last resort and when absolutely necessary to ensure the safety of the client and others. It should not be the first choice for a client in the manic phase of bipolar disorder. Placing the client in seclusion may further escalate agitation and increase feelings of isolation and distress.

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A nurse is preparing to assist with applying a cast to a preschooler's arm. Which of the following actions should the nurse take?

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Correct Answer is B

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Correct Answer is B

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