The nurse prepares a list of home care instructions for the parents of a child who has a plaster cast applied to the left forearm. Which instructions would be included on the list? Select all that apply.

Elevate the extremity on pillows for the first 24 to 48 hours after casting to prevent swelling.

Place a heating pad on the lower end of the cast and over the fingers if the fingers feel cold.

Keep small toys and sharp objects away from the cast.

Use a padded ruler or another padded object to scratch the skin under the cast if it itches.

Use the fingertips to lift the cast while it is drying

Contact the primary health care provider (PHCP) If the child complains of numbness or tingling in the extremity

Answer and Explanation

Correct Answer : A,C,F

A. Elevate the extremity on pillows for the first 24 to 48 hours after casting to prevent swelling.
Explanation: Elevating the extremity can help reduce swelling, especially in the initial period after casting.
B. Place a heating pad on the lower end of the cast and over the fingers if the fingers feel cold.
Explanation: Applying heat can increase the risk of burns and is not recommended. If the fingers feel cold, it may indicate a circulation issue, and the healthcare provider should be contacted.
C. Keep small toys and sharp objects away from the cast.
Explanation: Keeping small toys and sharp objects away from the cast is important to prevent injury or damage to the cast.
D. Use a padded ruler or another padded object to scratch the skin under the cast if it itches.
Explanation: Inserting objects under the cast can lead to complications, including skin damage or infection. It is advisable not to insert anything into the cast.
E. Use the fingertips to lift the cast while it is drying.
Explanation: Lifting or manipulating the cast during the drying process can compromise its integrity and should be avoided. The cast needs to dry completely to provide proper support and immobilization.
F. Contact the primary health care provider (PHCP) if the child complains of numbness or tingling in the extremity.
Explanation: Numbness or tingling can indicate a circulation problem, and it is important to contact the healthcare provider for further assessment.

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Correct Answer is C

Explanation

A. 9 months: By 9 months, most infants would have well exceeded doubling their birth weight.
B. 12 months: Doubling of birth weight usually occurs earlier, by around 5 to 6 months, rather than 12 months.
C. 6 months
Explanation:
The general guideline is that infants tend to double their birth weight by around 5 to 6 months of age. This doubling of birth weight is a common marker of healthy growth and development during the first few months of life.
D. 3 months: By 3 months, while infants experience significant growth, they usually haven't doubled their birth weight yet.

A. 1 cup cooked rice B. flour tortilla C. 1 cup ready-to-eat cereal flakes D. 1 slice whole wheat bread

Correct Answer is D

Explanation

A. 1 cup cooked rice: This exceeds the 1 oz serving size and is more than what the nurse is recommending.
B. Flour tortilla: The size of a flour tortilla can vary, but it often exceeds the 1 oz serving size, so it may provide more than the recommended amount.
C. 1 cup ready-to-eat cereal flakes: The volume of cereal can vary, and 1 cup of cereal may provide more than 1 oz of grains, depending on the type and density of the cereal.
D. 1 slice whole wheat bread: A standard slice of whole wheat bread typically provides around 1 oz of grains, making it an appropriate choice for the recommended serving size.

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The nurse prepares a list of home care instructions for the parents of a child who has a plaster cast applied to the left forearm. Which instructions would be included on the list? Select all that apply.

Nursing Test Bank

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A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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