Patient and parent education for the child who has a synthetic cast should include which of the following?
Applying a heating pad to the cast if the child has swelling in the affected extremity
Covering the cast with plastic and waterproof tape to keep it dry while bathing or showering
Splitting the cast if the child complains of numbness or pain
Wrapping the outer surface of the cast with an Ace bandage
The Correct Answer is B
The primary concern when it comes to a synthetic cast is to keep it dry during bathing or showering. Moisture can weaken the cast material and lead to skin irritation or infection. Therefore, covering the cast with plastic and waterproof tape helps to protect it from getting wet.
Applying a heating pad to the cast if the child has swelling in the affected extremity in (Option A) is incorrect because applying a heating pad to the cast can increase the risk of burns and is not recommended. If the child has swelling in the affected extremity, it is important to elevate the limb and follow any specific instructions provided by the healthcare provider.
Splitting the cast if the child complains of numbness or pain in (Option C) is also incorrect. Splitting the cast, or attempting to modify or adjust it, should not be done without medical supervision. If the child complains of numbness or pain, it is important to notify the healthcare provider for further evaluation and appropriate management.
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Wrapping the outer surface of the cast with an Ace bandage in (Option D) is incorrect as well. Wrapping the outer surface of the cast with an Ace bandage or any additional material is not recommended unless specifically instructed by the healthcare provider. It can affect the fit of the cast, alter the healing process, and potentially cause complications |
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Upper extremity fractures in children commonly occur as a result of falls. Children are more prone to falls due to their developing motor skills, balance, and coordination. They may fall from playground equipment, bicycles, or simply while running or playing.
While sports injuries (Option A) can also lead to upper extremity fractures, falls are generally the most common cause in children.
Physical abuse (Option B) is an unfortunate possibility in some cases, but it is important to approach the assessment without assuming abuse as the cause without appropriate evidence or disclosure.
Upper extremity fractures resulting from automobile crashes (Option D) are less common in children compared to falls or sports injuries, although they can occur in severe accidents.
It is always important for the nurse to assess the child's history, obtain a detailed account of the injury, and consider any additional signs or indications that may suggest non-accidental trauma if appropriate.
Correct Answer is A
Explanation
A. The harness maintains the hips in flexion, abduction, and external rotation
The factor that the nurse should include when teaching a parent about the care of a newborn
in a Pavlik harness for hip dysplasia is that the harness maintains the hips in flexion,
abduction, and external rotation. The Pavlik harness is a commonly used device for the
treatment of developmental dysplasia of the hip (DDH) in infants. It is designed to hold the
hips in a position that promotes proper alignment and development.
The harness maintains the hips in flexion, abduction and external rotation in (Option B) is
incorrect. The Pavlik harness should not be removed with every diaper change. The harness
needs to be worn consistently as directed by the healthcare provider to ensure the
effectiveness of the treatment.
The harness is the only first step of treatment in (Option C) is incorrect. While the Pavlik
harness is an important step in the treatment of hip dysplasia, it is not the only step.
Additional treatments, such as bracing or surgical interventions, may be required depending
on the severity of the condition.
The harness in worn for 2 weeks in (Option D) is incorrect. The duration for which the Pavlik
harness is worn can vary depending on the individual case and the healthcare provider's
instructions. It is typically worn for several weeks to months, and the specific duration will be
determined by the healthcare provider based on the child's progress and response to
treatment.
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