The nurse is reinforcing home care instructions to the parent of a child with bacterial conjunctivitis. Which instruction would the nurse give the parent?

The child may attend school if antibiotics have been started.

Wipe any crusted material from the eye with a cotton ball soaked in warm water, starting at the outer aspect of the eye and moving toward the inner aspect.

The child's towels and washcloths should not be used by other members of the household.

Save any unused eye medication in case a sibling gets the eye infection.

Answer and Explanation

The Correct Answer is C

This aligns with general guidelines for managing bacterial conjunctivitis, which emphasize the importance of cleanliness and avoiding the sharing of personal items to contain the infection.

A. Bacterial conjunctivitis is highly contagious, and the child should not attend school until they have been on antibiotics for at least 24 hours and their symptoms are improving. Allowing the child to attend school before this time could lead to the spread of the infection to other children.

B. Crusted material around the eye should be gently wiped away using a clean cotton ball soaked in warm water. It's important to start wiping from the inner aspect of the eye and move toward the outer aspect to prevent spreading any infectious material into the eye.

D. Eye medications, especially antibiotics prescribed for bacterial conjunctivitis, should not be saved for future use or shared with others. Each individual should have their own prescribed medication to avoid the risk of improper dosing or spread of infection.

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Correct Answer is B

Explanation

B. The most serious complication associated with skeletal traction is osteomyelitis, an infection that involves the bone. This condition can occur when organisms gain access to the bone either systemically or through the openings created by the metal pins or wires used in the traction.

A. Increased blood pressure can occur for various reasons but it is not the most serious complication associated with skeletal traction.

C. A decrease in urine output could indicate systemic infection which is a late feature of osteomyelitis and therefore, not the earliest to monitor.

D. Changes in appetite can occur in response to pain or stress but they are not typically the most serious complication associated with skeletal traction.

A. Use a hair dryer on a hot setting to dry the cast. B. Discourage the client from ambulating. C. Keep the client's leg in a dependent position. D. Perform a neurovascular check of the lower extremities.

Correct Answer is D

Explanation

D. This is the correct action to take. A neurovascular check involves assessing the circulation, sensation, and movement in the affected limb. This check helps monitor for complications such as impaired circulation, nerve damage, or compartment syndrome, which can occur after the application of a plaster cast. Regular neurovascular checks are essential for early detection of any issues and appropriate intervention if necessary.

A. Using a hair dryer on a hot setting can cause burns to the skin under the cast. It can also cause the cast material to heat up and potentially cause discomfort or injury to the patient.

B. It's essential to follow the healthcare provider's instructions regarding weight-bearing restrictions, but completely discouraging ambulation can lead to complications such as muscle atrophy, decreased circulation, and increased risk of blood clots.

C. Keeping the client's leg in a dependent position means positioning it lower than the heart. This can increase swelling and exacerbate pain, potentially leading to complications such as compartment syndrome.

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The nurse is reinforcing home care instructions to the parent of a child with bacterial conjunctivitis. Which instruction would the nurse give the parent?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a child with a fracture who is placed in skeletal traction. The nurse monitors for the most serious complication associated with this type of traction by checking for which?

Correct Answer is B

Explanation

A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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