The nurse is conducting teaching to parents of a 7-year-old child who fractured an arm and is being discharged with a cast. Which instruction would be included in the teaching?

Elevate casted arm when resting and when sitting up.

Immobilize the shoulder to decrease pain in the arm.

Swelling of the fingers is to be expected for the next 48 hours.

Allow the affected limb to hang down for 1 hour each day.

Answer and Explanation

The Correct Answer is A

A. Elevating the casted arm helps reduce swelling and promotes circulation. The arm should be elevated above the heart level when resting to minimize swelling.

B. Immobilizing the shoulder is unnecessary unless specifically instructed, as immobilizing the shoulder is not required for most arm fractures.

C. Swelling of the fingers can occur with a cast, but it should not last longer than 24 hours. Prolonged swelling should be reported.

D. Allowing the limb to hang down may increase swelling and should be avoided.

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Correct Answer is C

Explanation

A. Breastfeeding or formula feeding should be continued until 12 months, as breast milk or formula provides the necessary nutrients.

B. Whole milk should not be introduced at 10 months.

C. Whole milk should not be introduced until after the first year of life (12 months), as it lacks the appropriate balance of nutrients for infants and may cause digestive issues or iron deficiency before then.

D. 8 months is too early for whole milk; breast milk or formula is still the best option until 12 months.

A. Pulmonary stenosis B. Overriding aorta C. Right ventricular hypertrophy D. Coarctation of the aorta E. Ventral septal defect

Correct Answer is ["A","B","C","E"]

Explanation

A. Pulmonary stenosis is one of the characteristic features of TOF, causing obstruction to blood flow to the lungs.
B. Overriding aorta is a defining feature of TOF, where the aorta is positioned over the ventricular septal defect, leading to mixing of oxygenated and deoxygenated blood.
C. Right ventricular hypertrophy occurs in TOF due to increased workload on the right ventricle caused by pulmonary stenosis.
D. Coarctation of the aorta is not part of Tetralogy of Fallot; it is a separate congenital defect.
E. A ventricular septal defect is the hole between the ventricles in TOF, leading to the mixing of oxygenated and deoxygenated blood.

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The nurse is conducting teaching to parents of a 7-year-old child who fractured an arm and is being discharged with a cast. Which instruction would be included in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that the transition to whole milk can occur at which of the following ages?

Correct Answer is C

Explanation

Correct Answer is ["A","B","C","E"]

Explanation

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