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 B
Explanation
Rationale:
A. Administering vaccines prior to discharge may be contraindicated in a child with neutropenia due to the risk of infection from live vaccines.
B. Avoiding raw fruits and vegetables helps reduce the risk of exposure to harmful bacteria or pathogens that could lead to infection in a child with neutropenia, as their immune system is compromised.
C. Bathing the child every other day is a general hygiene practice and does not specifically address the risk of infection associated with neutropenia.
D. Obtaining the child's rectal temperature once daily is a routine assessment and does not directly address the risk of infection associated with neutropenia.
Correct Answer is ["A","C","D","F","G"]
Explanation
A. Cutting and filing the child's fingernails frequently can help prevent scratching and further irritation of the skin.
B. Atopic dermatitis is not contagious, so this statement is incorrect.
C. Applying emollients (moisturizers) to the child's skin after bathing can help hydrate the skin and reduce itching.
D. Using a mild detergent for the child's laundry can help minimize skin irritation.
E. Pimecrolimus cream is a topical immunomodulator that may be used for atopic dermatitis, but the thick layer application is not typically recommended for children due to safety concerns.
F. Applying gloves to the child's hands can prevent scratching and further damage to the skin.
G. Atopic dermatitis often has periods of exacerbation (flare-ups) followed by periods of improvement.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.