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.
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Related Questions
Correct Answer is D
Explanation
A. “My child will take the enzymes following meals.”: This is incorrect. Pancreatic enzymes should be taken with meals, not after, to help with the digestion of food.
B. “My child will take the enzymes 2 hours before meals.”: This is incorrect. Pancreatic enzymes should be taken with meals, not before, to help with the digestion of food.
C. “My child will take the enzymes to improve her metabolism.”: While pancreatic enzymes do aid in digestion, which is a part of metabolism, this statement is not specific enough to indicate a correct understanding of the purpose of the enzymes.
D. “My child will take the enzymes to help digest the fat in foods.”: This is the correct answer. Pancreatic enzymes help break down fats, proteins, and carbohydrates in food, aiding in their digestion and absorption in the intestines. This is particularly important in conditions like cystic fibrosis, where the pancreas does not produce enough of these enzymes naturally.
Correct Answer is A
Explanation
A. Feelings of isolation: This is the correct answer. Isotretinoin has been linked to depression and suicidal ideation in some cases. Therefore, any changes in mood, including feelings of isolation, should be reported to the healthcare provider immediately.
B. Itching of skin: While this can be a side effect of isotretinoin, it is not as critical as changes in mood. However, any discomfort should still be reported to the healthcare provider.
C. Back pain: This can be a side effect of isotretinoin, but it is not as critical as changes in mood. However, any discomfort should still be reported to the healthcare provider.
D. Frequent nosebleeds: This can be a side effect of isotretinoin due to dryness of the nasal passages, but it is not as critical as changes in mood. However, any discomfort should still be reported to the healthcare provider.
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