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A patient is to be discharged in a plaster spica cast. Which statement would indicate the need for further teaching with the patient's parent?

"I will monitor the cast daily for foul odors.".

"I will bring my child to the clinic for frequent checkups.".

"I will use the cast stabilizing bar to turn my child.".

"I will massage the skin around the edges of my child's cast.".

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Monitoring the cast daily for foul odors is a proper action to identify potential infection.

Choice B rationale:

Bringing the child for frequent checkups to the clinic is important to ensure the cast is healing properly.

Choice C rationale:

Using the cast stabilizing bar to turn the child can be concerning. There's no mention of a cast stabilizing bar, so this statement suggests a lack of understanding or misinformation.

Choice D rationale:

Massaging the skin around the edges of the child's cast can help prevent skin irritation, so it's an appropriate action.

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Correct Answer is B

Explanation

Choice A rationale:

The statement "I will not take medications in front of my child”. is correct. Caregivers should avoid taking medications in front of children to prevent them from mimicking the behavior, as some medications can be harmful if ingested accidentally.

Choice B rationale:

The statement "I will keep all my medications in my purse”. is incorrect. Keeping medications in a purse or easily accessible place poses a risk of accidental ingestion by the child. Medications should be stored out of reach and in child-resistant containers.

Choice C rationale:

The statement "We will safety-proof the grandparents' house”. is correct. Safety-proofing the environment is important to prevent accidental poisoning. This statement demonstrates caregiver awareness of potential risks in another household.

Choice D rationale:

The statement "We will put locks on all of our cabinet doors at home”. is correct. Locking cabinet doors is a preventive measure to keep children away from potentially harmful substances, showcasing the caregiver's understanding of safety precautions.

A. Shock. B. Denial. C. Anger. D. Depression.

Correct Answer is A

Explanation

Choice A rationale:

The statement "I feel numb. I just can't believe this is happening”. reflects the emotional reaction of shock. Shock is a common initial response to distressing news, as the individual may find it difficult to process and accept the reality of the situation.

Choice B rationale:

Denial is the refusal to accept reality and is often accompanied by a lack of awareness or acknowledgment of the situation. The mother's statement does not demonstrate denial, as she acknowledges the situation but expresses disbelief.

Choice C rationale:

Anger is a stage of grief characterized by feelings of hostility and resentment. The mother's statement does not show anger, as she does not express any aggressive or hostile emotions.

Choice D rationale:

Depression involves feelings of extreme sadness, hopelessness, and low mood. The mother's statement does not directly convey depression; rather, it indicates a sense of disbelief and numbness.

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A patient is to be discharged in a plaster spica cast. Which statement would indicate the need for further teaching with the patient's parent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse discusses poison prevention with a caregiver of a 2 1/2-year-old child. Which statement by this caregiver indicates a need for further education?

Correct Answer is B

Explanation

A 4-year-old patient is newly diagnosed with acute lymphocytic leukemia (ALL). The patient's mother says to the nurse, "I feel numb. I just can't believe this is happening.”. The nurse recognizes that this statement is consistent with which emotional reaction?

Correct Answer is A

Explanation

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