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 C

Explanation

A. Monitor the client closely to prevent self-mutilation: This action is not typically associated with dependent personality disorder. Dependent personality disorder is characterized by an excessive need to be taken care of, leading to submissive and clinging behaviors, rather than self-mutilation.

B. Give positive feedback when the client is assertive with staff or clients: While it is important to encourage and reinforce assertive behaviors, giving positive feedback alone may not be sufficient to address the underlying issues associated with dependent personality disorder. It's essential to provide comprehensive care that addresses the client's dependency needs and promotes healthy assertiveness.

C. Set limits to prevent exploitation of other clients: Clients with dependent personality disorder may exhibit behaviors that involve relying excessively on others and seeking caretaking from them. Setting limits helps prevent these clients from exploiting or overly burdening others with their needs, promoting boundaries and accountability within the therapeutic environment.

D. Discourage flamboyant or seductive behaviors: Flamboyant or seductive behaviors are not typical characteristics of dependent personality disorder. These behaviors are more commonly associated with other personality disorders, such as histrionic or borderline personality disorder. In dependent personality disorder, the focus is more on an excessive need for support and reassurance rather than attention-seeking behaviors.

A. The client drinks 2 liters of liquids daily. B. The client runs 4 miles outdoors every afternoon. C. The client eats 2 to 3 gm of sodium-containing foods daily D. The client eats foods high in tyramine

Correct Answer is B

Explanation

A. The client drinks 2 liters of liquids daily: Adequate hydration is important when taking lithium to prevent dehydration, which can increase lithium levels. Drinking 2 liters of liquids daily is appropriate and helps maintain hydration, reducing the risk of lithium toxicity.

B. The client runs 4 miles outdoors every afternoon: Vigorous exercise and excessive sweating, such as running 4 miles outdoors daily, can lead to dehydration and increased lithium levels, thereby increasing the risk of lithium toxicity. Clients taking lithium should be advised to avoid excessive sweating and to maintain adequate hydration during exercise.

C. The client eats 2 to 3 gm of sodium-containing foods daily: Consuming sodium-containing foods helps prevent lithium toxicity by promoting lithium excretion through the kidneys. Adequate sodium intake is necessary to maintain lithium balance in the body. Eating 2 to 3 grams of sodium-containing foods daily is within the recommended range for clients taking lithium.

D. The client eats foods high in tyramine: Foods high in tyramine are associated with the risk of hypertensive crisis, particularly in clients taking monoamine oxidase inhibitors (MAOIs), not lithium. While dietary restrictions may be necessary for clients taking MAOIs, they are not relevant to lithium therapy.

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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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