The nurse is continuing to care for the child.

Exhibits

After reviewing the discharge instructions with the family, which of the following statements by a parent indicate an understanding of the teaching. For each statement by the parent, click to specify if the statement reflects an. understanding or indicates a need for reinforcement of the discharge teaching.

"We should prop the casted arm on pillows for the next 24 hours.".

"We should expect the swelling and tingling to worsen before it gets better.".

"We need to be very careful about how we handle the cast for the first 2 days while it dries.".

"It is important that our child avoids placing anything inside the cast.".

"We should notify the provider if the cast becomes loose over time.".

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"}}

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Correct Answer is D

Explanation

A. Instruct the client to lie supine with his knees flexed. B. Position the client in semi-Fowler's position. C. Cover the wound with a dry sterile dressing. D. Cover the wound with a transparent dressing.

Correct Answer is A

Explanation

Explanation: Evisceration is a surgical emergency that occurs when the abdominal contents protrude through the incision site. The nurse should instruct the client to lie supine with his knees flexed to reduce tension on the wound and prevent further damage.

The nurse should also cover the wound with a moist sterile dressing and notify the surgeon immediately. Positioning the client in semi-Fowler's position, covering the wound with a dry sterile dressing, or covering the wound with a transparent dressing are not appropriate actions for evisceration.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the client's daily warfarin.Which of the following laboratory tests should the nurse plan to report to obtain the prescription for the warfarin?

Correct Answer is D

Explanation

A nurse is caring for a client who has an abdominal surgical incision and notes an evisceration. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is assessing a client who received hydromorphone 4 mg IV 15 min ago.The client has a respiratory rate of 10/min.The nurse should prepare to administer which of the following medications? .

A nurse in an outpatient mental health clinic is assessing an adolescent client.The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?

A nurse is planning care for a client who has acute appendicitis.Which of the following actions should the nurse plan to take?

A nurse is caring for a client who experienced a traumatic brain injury 72 hr ago. Which of the following findings should the nurse identify as a potential indication of increased intracranial pressure?

A nurse is reviewing the medication administration record of a client.Which of the following prescriptions should the nurse clarify?

A nurse is caring for a client who has severe hypertension and is to receive nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take?

A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness?