A nurse is reinforcing discharge teaching with the guardian of a preschooler who has a fiberglass arm cast. Which of the following statements by the guardian indicates an understanding of the teaching?
"I will make sure my child's arm doesn't hang down for more than 30 minutes."
"It is okay to submerge the cast for 5 minutes during my child's bath time."
"I will ensure my child avoids moving their fingers while the cast is in place."
"It is okay to use a pencil to scratch inside my child's cast."
The Correct Answer is A
A. Ensuring the child’s arm doesn’t hang down for extended periods can help prevent swelling and discomfort.
B. Submerging a fiberglass cast can damage the material and is not recommended.
C. It is important to encourage the child to move their fingers to maintain circulation and prevent stiffness.
D. Using a pencil to scratch inside the cast can cause injury or damage to the skin and should be avoided.
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Related Questions
Correct Answer is B
Explanation
A. Giving the infant a bottle immediately before bedtime is not recommended as it can increase the likelihood of reflux symptoms during sleep. It is better to have some time between feeding and sleeping to allow for digestion.
B. Keeping the infant at a 30° angle for 1 hr following each feeding helps to reduce the risk of reflux by using gravity to keep the stomach contents down. This position can aid in preventing the backflow of stomach contents into the esophagus.
C. Changing to a soy-based formula is not universally recommended for gastroesophageal reflux without a specific indication, such as a confirmed cow's milk protein allergy. It is important to follow a healthcare provider's specific recommendations regarding formula.
D. Limiting feedings to every 6 hours is not appropriate for a 2-month-old infant, who typically requires more frequent feedings to meet nutritional needs and maintain growth.
Correct Answer is []
Explanation
Condition:
Pyelonephritis: The presence of fever, frequent and painful urination, and costovertebral angle tenderness, along with the urinalysis findings (cloudy urine, leukocyte esterase, nitrites, WBCs) and elevated WBC count suggest an upper urinary tract infection, likely pyelonephritis.
Actions to Take:
Request prescription for antibiotics: Pyelonephritis is a bacterial infection that requires antibiotic treatment to prevent complications and resolve the infection.
Encourage increased fluid intake: This helps to flush bacteria from the urinary tract, reducing the concentration of bacteria in the urine and helping to relieve symptoms.
Parameters to Monitor:
Child’s report of urgency: This can help assess if the infection is affecting the lower urinary tract as well and track the effectiveness of treatment.
Urine odor: Foul-smelling urine can indicate ongoing infection or bacterial presence and can be an indicator of the effectiveness of the treatment.
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