A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Examine the child for skin irritation at the cast edges.
Restrict the child's strenuous activities for 3 days.
Monitor for pallor or swelling in the child's affected hand.
Use a hair dryer on cool setting to relieve itching.
The Correct Answer is C
A. Examining the child for skin irritation at the cast edges is important to prevent complications, but it is not the priority over monitoring for circulation and potential complications.
B. Restricting strenuous activities is important for preventing damage to the cast, but it is not the priority over monitoring for circulatory compromise.
C. Monitoring for pallor or swelling in the child's affected hand is the priority because it indicates potential circulatory compromise, which is a critical concern following cast application.
D. Using a hair dryer on a cool setting to relieve itching is a helpful suggestion, but it is not the priority over monitoring for potential complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A heart rate of 54/min is within the normal range for a 5-year-old child and does not specifically indicate hemorrhage.
B. Flushing of the face is not a direct indicator of hemorrhage.
C. A blood pressure of 95/56 mm Hg may be within the normal range for a 5-year-old child and does not specifically indicate hemorrhage.
D. Continuous swallowing can indicate bleeding in the postoperative period following a tonsillectomy and adenoidectomy, as blood may be pooling in the throat and swallowed rather than expectorated.
Correct Answer is A
Explanation
A) This option provides a suitable alternative for obtaining calcium without consuming milk, which is appropriate for someone who is lactose intolerant.
B) While plain milk may be better tolerated than chocolate milk due to fewer additives, it's not a suitable option for someone who is lactose intolerant.
C) Flavored yogurt may contain lactose and could potentially worsen symptoms of lactose intolerance.
D) Drinking milk on an empty stomach doesn't address the issue of lactose intolerance and may exacerbate symptoms.
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