The practical nurse (PN) is monitoring a 5-year-old following a fracture of the ulna. For which situation should the PN seek immediate intervention by the registered nurse (RN)?
The child likes to wiggle the fingers on the hand of the affected side.
The child's radial pulse volume on the affected arm is difficult to palpate.
An accurate respiratory rate cannot be measured because of the child's crying.
The parents of the child are requesting that the child receive an analgesic.
The Correct Answer is B
This could indicate reduced blood flow to the affected arm, which may be a sign of compartment syndrome. Compartment syndrome is a serious condition that requires immediate intervention by a registered nurse (RN). The other options may also require intervention, but they are not as urgent as the situation described in option B.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A positive indirect Coombs' test indicates that the mother has developed Rh antibodies against the baby's Rh-positive blood. This finding can result in hemolytic disease of the newborn, which is a condition in which the mother's Rh antibodies atack the baby's red blood cells, causing destruction and potential anemia.
The baby may require phototherapy for physiologic jaundice, but the Coombs' test result indicates a different issue.
The presence of an infectious blood-borne disease cannot be determined from this test.
The mother may still need Rho (D) immune globulin injections after delivery of an Rh-positive baby.
Correct Answer is A
Explanation
Providing a structured daily routine is the most effective intervention for managing the symptoms of ADHD. Children with ADHD benefit from routines that include consistent times for meals, homework, play, and bedtime. This provides structure and predictability, which can help to decrease anxiety and improve the child's ability to focus.
Consulting with a licensed kinesiologist (B) or instituting a regimen of mega-vitamins (C) have not been found to be effective interventions for managing the symptoms of ADHD.
Eliminating dietary simple sugars (D) has also not been found to be an effective intervention for managing the symptoms of ADHD.
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