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.
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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Related Questions
Correct Answer is C
Explanation
A. Measuring weight and height is not an immediate priority in the management of shock.
B. Inserting an indwelling urinary catheter is not a priority in the early management of shock.
C. Initiating IV access is crucial for fluid resuscitation and medication administration in a child with shock.
D. While ECG monitoring is important, it is not as immediately necessary as establishing IV access for shock management.
Correct Answer is A
Explanation
A. "I am going to listen to your heart" is the most appropriate way to introduce the process of taking vital signs, as it is non-threatening and familiar to the child.
B. "Can you stand still while I feel how warm you are?" may be confusing to a toddler, as they might not understand what "feeling warm" means.
C. "Can I listen to your lungs?" might sound unfamiliar or intimidating to a toddler.
D. "Can I take your blood pressure now?" is a more advanced procedure that may cause anxiety and should be introduced after explaining the other vital signs.
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