A nurse is reinforcing teaching with the parent of a preschooler who has a hip fracture and is in a spica cast. Which of the following findings should the nurse identify as an indication of infection?
Hot spot on the cast
General edema of the toes
Pruritus under the cast
Pain at the fracture site
The Correct Answer is A
A. A hot spot on the cast may indicate localized infection. When the skin underneath the cast becomes infected, it can lead to localized warmth, tenderness, and redness. It is important to promptly assess and address the situation, as infections can progress quickly in these circumstances.
B. General edema of the toes is a common response to immobilization and injury, but it does not specifically indicate infection. It is more likely related to inflammation or impaired circulation from the cast.
C. Pruritus (itching) under the cast can occur due to the skin's reaction to the cast material, dryness, or moisture accumulation, but it is not necessarily an indication of infection.
D. Pain at the fracture site is common and expected as the fracture heals, but it alone is not an indication of infection unless associated with other symptoms like fever, warmth, or drainage.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Wooden building blocks are appropriate for an 18-month-old child, as they promote motor skills development, coordination, and creativity. At this age, children engage in parallel play and are developing their ability to manipulate objects.
B. Stringing beads requires more advanced fine motor skills that an 18-month-old child is not yet ready for. This activity is more appropriate for older children.
C. Colored paper and safety scissors could be a choking hazard for an 18-month-old child, and using scissors requires more advanced fine motor skills than most toddlers possess.
D. Alphabet flash cards are more suitable for older children, typically those who are 3 years and older, as they are better able to understand letters and begin to form associations with words.
Correct Answer is C
Explanation
A. Tretinoin should be applied at night, not in the morning, as it can increase sensitivity to sunlight and may cause sunburn.
B. It is recommended to use a small, pea-sized amount of tretinoin, not a dime-sized amount, to avoid overuse and irritation.
C. Tretinoin makes the skin more sensitive to the sun, so it is important to use sunscreen with an SPF of 15 or higher to protect the skin from sun damage while using the medication.
D. After washing the face, it is recommended to wait 20-30 minutes before applying tretinoin, not just 5 minutes, to allow the skin to dry and reduce irritation.
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