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

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

"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."

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

Answer and Explanation

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

Rationale:

"We should notify the provider if the cast becomes loose over time." A loose cast may no longer immobilize the fracture effectively and can allow excessive movement. It may also rub the skin, increasing the risk of irritation or breakdown.

"It is important that our child avoids placing anything inside the cast." This statement reflects understanding because inserting objects inside the cast can break the skin and introduce bacteria, leading to infection. It may also damage the padding and compromise skin protection.
"We should expect the swelling and tingling to worsen before it gets better." This statement needs reinforcement because worsening swelling and tingling can indicate early signs of compartment syndrome. These symptoms are not normal and should prompt immediate medical attention.
"We need to be very careful about how we handle the cast for the first 2 days while it dries." This shows understanding because a plaster cast takes 24 to 48 hours to fully dry. Improper handling can cause pressure indentations, leading to skin damage and poor cast integrity
"We should prop the casted arm on pillows for the next 24 hours." Elevating the limb helps reduce swelling and pain by improving venous return. Keeping the casted arm elevated is a standard part of cast care teaching after an injury.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Rationale:

A. "Use an electric razor when shaving while taking this medication.": Warfarin is an anticoagulant that increases the risk of bleeding. Using an electric razor reduces the risk of cuts and subsequent bleeding, which is an important safety measure for clients on warfarin therapy.

B. "Take a dose of the medication every 5 minutes for a maximum of three doses": This instruction is inappropriate and unrelated to warfarin. Warfarin is taken orally once daily, and frequent dosing in short intervals could lead to serious bleeding complications.

C. "Avoid taking this medication with milk products.": Milk does not significantly affect warfarin absorption or activity. The client should be cautioned about foods high in vitamin K, such as leafy greens, because they can interfere with warfarin’s anticoagulant effect.

D. "This medication can cause hearing loss.": Hearing loss is not a known adverse effect of warfarin. The primary concerns are bleeding risks, bruising, and interactions with other medications or foods.

A. Speak in a neutral tone when addressing the client. B. Rotate staff members caring for the client. C. Mix the medication with the client's food items. D. Limit the client's opportunities to socialize with others.

Correct Answer is A

Explanation

Rationale:

A. Speak in a neutral tone when addressing the client: Clients with paranoid personality disorder are often suspicious of others’ motives and may perceive hostility or manipulation. Using a neutral, calm, and nonjudgmental tone helps build trust and reduces anxiety, increasing the likelihood of cooperation with care, including medication administration.

B. Rotate staff members caring for the client: Frequently changing caregivers can increase mistrust and paranoia in these clients, as consistency and predictability are important for establishing a therapeutic relationship. Continuity of care helps the client feel more secure and supported.

C. Mix the medication with the client's food items: Covertly administering medication can further damage trust and may be considered unethical. Clients with paranoid personality disorder require transparency and respect for autonomy to maintain a therapeutic relationship.

D. Limit the client's opportunities to socialize with others: Social isolation is not an appropriate intervention and may worsen symptoms of paranoia and distrust. Encouraging safe, structured social interactions can support the client’s overall functioning without compromising boundaries or autonomy.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has a new prescription for warfarin. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan?

Correct Answer is A

Explanation

A nurse is collaborating with social services in the discharge planning for a young adult client who is below the poverty income level and will require home IV therapy. Which of the following resources should the nurse recommend? (Select all that apply)

A nurse is providing teaching to a client who has otitis media and is 1 hr postoperative following a myringotomy. Which of the following statements should the nurse include in the teaching?

A nurse is planning care for a client who is returning to the unit following open gastric bypass surgery. Which of the following interventions should the nurse include in the client's plan of care?

A nurse is caring for a client who is in labor and receiving oxytocin. The electronic fetal monitor indicates contractions every 50 seconds, lasting 2 min and late decelerations. Which of the following actions should the nurse take?

A charge nurse is creating assignments for the next shift for several nurses and one of the nurses is pregnant. Which of the following clients should the charge nurse assign to a nurse who is not pregnant?

A public health nurse is caring for a group of clients who experienced mold exposure in their home environment. Which of the following clients should the nurse identify as at risk for adverse effects of mold overgrowth?

A nurse is administering furosemide IV bolus to a client who has fluid volume excess. The nurse should recognize which of the following findings as an indication that the medication has been effective?