The nurse is continuing to care for the child.
Elevate the affected forearm with pillows.
Administer Ibuprofen 200 mg PO.
Place a non adherent dressing on the right knee abrasion.
Review cast care instructions with the child's parents.
Explain the cast application procedure to the child.
Apply ice packs to the fingers and along the right forearm.
Correct Answer : A,B,F
Rationale:
A. Elevate the affected forearm with pillows: Elevation helps reduce swelling and promotes venous return, which is critical in the immediate management of a fracture to prevent complications such as increased edema or impaired circulation.
B. Administer Ibuprofen 200 mg PO: The child reports pain at a level of 5, meeting the prescription threshold. Administering analgesia promptly helps manage discomfort and supports cooperation with further interventions, such as casting.
C. Place a nonadherent dressing on the right knee abrasion: While wound care is important, the abrasion is minor and not the most urgent concern. Prioritization focuses on the fractured limb and pain management.
D. Review cast care instructions with the child's parents: Education is important but is not the immediate priority before the cast is applied. It can be provided after the child is stabilized and pain is managed.
E. Explain the cast application procedure to the child: While preparing the child psychologically is important, immediate interventions to reduce pain and swelling take precedence over anticipatory teaching.
F. Apply ice packs to the fingers and along the right forearm: Ice helps reduce swelling and pain in the acute phase of the fracture. Applying ice in combination with elevation supports circulation and comfort while awaiting casting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. The client started working in a parking garage 3 months ago: Working in a parking garage may expose the client to exhaust fumes and carbon monoxide, which are hazardous during pregnancy. This environment increases the risk of fetal hypoxia and warrants further evaluation for occupational safety and potential exposure mitigation.
B. The client is doing 30 min of moderate exercise daily: Moderate exercise during pregnancy is generally safe and encouraged to promote maternal health, improve circulation, and reduce gestational complications. This activity does not indicate unsafe behavior.
C. The client is drinking 2.5 L of water per day: Adequate hydration is recommended during pregnancy to support maternal and fetal circulation, amniotic fluid levels, and overall health. Drinking 2.5 L per day is appropriate and does not require intervention.
D. The client last visited the dentist 4 months ago: Regular dental care is encouraged, but a visit every 4–6 months is generally considered safe and routine. This finding does not indicate unsafe behavior requiring urgent evaluation.
Correct Answer is A
Explanation
Rationale:
A. A health care surrogate makes health care decisions when the client is no longer able: A health care surrogate, also called a health care proxy, is designated by the client to make medical decisions on their behalf if they become incapacitated.
B. Advance directives cannot be changed once implemented: Advance directives are legally binding but can be revised or revoked by the client at any time while they are competent. Flexibility allows clients to update their preferences as their health status or values change.
C. Assigning a health care surrogate requires legal consultation: While consulting an attorney can be helpful, it is not required to designate a health care surrogate. Most states allow clients to assign a surrogate using standardized forms provided by healthcare facilities or state agencies.
D. A client must create a do-not-resuscitate order when completing advance directives: Creating a DNR order is optional and only applicable if the client wishes to limit resuscitation. Advance directives encompass broader healthcare decisions beyond resuscitation preferences.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.