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 A
Explanation
The assessment finding that the nurse should expect in an infant with Hirschsprung disease is option A, constipation with the passage of foul-smelling, ribbon-like stools. Hirschsprung disease is a congenital condition characterized by the absence of ganglion cells in the distal part of the colon, leading to functional obstruction. The affected segment of the colon lacks the normal peristaltic movements, resulting in an accumulation of faecal matter. The stools passed by infants with Hirschsprung disease are often constipated, and the narrow, ribbon- like appearance is a result of the narrowed segment of the colon.
diarrhea (option B) is incorrect because it, is not typically associated with Hirschsprung disease. Instead, the condition presents with constipation due to the obstructed bowel.
foul-smelling, fatty stools in (option C) is incorrect because it, is not characteristic of Hirschsprung disease. This finding may be associated with malabsorption disorders such as cystic fibrosis or celiac disease, but not specifically with Hirschsprung disease.
"currant jelly" stools in (option D) is incorrect because it, is a term commonly used to describe the stools seen in intussusception, which is a different condition involving the telescoping of one segment of the bowel into another. It is not an expected finding in Hirschsprung disease.
Correct Answer is B
Explanation
Legg-Calve-Perthes disease, also known as Perthes disease, is a childhood condition that affects the hip joint. It occurs due to a disruption in the blood supply to the femoral head (epiphysis), which can lead to bone death (avascular necrosis) and subsequent deformity of the femoral head.
It is essential for parents to understand that Legg-Calve-Perthes disease is not an acute illness that lasts for a short duration (Option A). It is a chronic condition that typically progresses over a period of months or years.
stating that it is caused by a virus, in (option C) is incorrect. The exact cause of Legg-Calve- Perthes disease is not fully understood, but it is not caused by a viral infection. It is believed to be related to multifactorial factors, including genetic and vascular factors.
stating that it primarily affects adults, in (option D) is incorrect. Legg-Calve-Perthes disease predominantly affects children, typically between the ages of 4 and 8 years old, during the period of rapid growth.
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