nurse is caring for an adolescent client who has a newly applied fiberglass cast for a fractured tibia. Which of the following actions is best for the nurse to take?
Perform a neurovascular assessment.
Provide reassurance to the client and parents.
Apply an ice pack to the casted leg.
Explain the discharge instructions to the client and parents.
The Correct Answer is A
A. Perform a neurovascular assessment: This is the correct answer. After a cast is applied, it’s crucial to regularly assess the client’s neurovascular status (sensation, movement, temperature, color, and capillary refill) to ensure that the cast is not too tight and that circulation is not compromised.
B. Provide reassurance to the client and parents: While this is important, the immediate priority is to ensure the client’s physical well-being.
C. Apply an ice pack to the casted leg: This can help reduce swelling and pain, but it’s not the immediate priority. The nurse first needs to ensure that the cast is not compromising circulation or nerve function.
D. Explain the discharge instructions to the client and parents: This is typically done later, closer to the time of discharge. The immediate priority is to assess the client’s physical condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Inspect any dogs or cats at home for lice: This is not necessary because human lice cannot infest pets.
B. Soak all combs and hairbrushes in alcohol: While cleaning combs and brushes is important, soaking them in hot water is usually sufficient. Alcohol is not necessary and can damage some materials.
C. Seal non-washable items in airtight plastic bags: This is the correct answer. Lice cannot survive without a human host for more than 48 hours. Sealing non-washable items (like stuffed animals) in airtight bags for at least two weeks can help ensure any lice or nits are dead.
D. Spray countertops and sinks with insecticide: This is not recommended. Lice do not infest homes like other pests, and insecticides can be harmful to humans, especially children. Regular cleaning is usually sufficient.
Correct Answer is D
Explanation
A. Pain when manipulating the affected ear lobe: While this can be a symptom of otitis externa (an infection of the outer ear), it is not typically associated with otitis media, which is an infection of the middle ear.
B. Erythema and edema of the affected ear: These are more commonly associated with otitis externa or an ear injury, not otitis media.
C. Clear drainage from the affected ear: This could indicate a ruptured eardrum, which can occur with severe or untreated otitis media, but it is not a typical symptom.
D. Tugging on the affected ear lobe: This is the correct answer. Children with otitis media often tug or pull at their ears due to the pain and discomfort caused by the infection. This is a common symptom of otitis media.
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.