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 D
Explanation
A. Feeding the infant at the first sign of hunger is a general good practice but does not specifically address the increased nutritional needs of an infant with heart failure.
B. A firm nipple may require more effort to suck, which can be tiring for an infant with heart failure. A softer nipple may be more appropriate.
C. Diluting the formula with water can lead to inadequate caloric intake and nutritional deficiencies. Formula should be prepared according to instructions to ensure proper nutrition.
D. Thickening the formula is often recommended to prevent regurgitation and aspiration, which can be particularly dangerous in infants with heart failure due to their compromised cardiac function.
Correct Answer is C
Explanation
A. An axillary temperature of 37.3° C (99.1° F) is within the normal range for a child and does not need to be reported.
B. A respiratory rate of 24/min is within the normal range for a 6-year-old child and does not need to be reported.
C. A heart rate of 59/min is slightly below the normal range for a 6-year-old and should be reported to the provider.
D. A blood pressure of 96/58 mm Hg is within the normal range for a 6-year-old child and does not need to be reported.
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