A nurse is caring for a school-age child who has a fracture to the right femur.
Which of the following findings is the nurse's priority?
Capillary refill less than 2 seconds.
Tingling in the right foot.
Respiratory rate 24/min.
2+ right pedal pulse.
The Correct Answer is B
Choice A rationale
Capillary refill less than 2 seconds is a normal finding and suggests adequate perfusion. It is not indicative of a priority concern in this context.
Choice B rationale
Tingling in the right foot can indicate nerve damage or compromised circulation, which is critical to address in a patient with a fracture. This symptom could suggest complications like compartment syndrome, requiring immediate medical attention.
Choice C rationale
Respiratory rate of 24/min is slightly elevated but not directly related to the fracture's immediate complications. It requires monitoring but is not the priority.
Choice D rationale
A 2+ right pedal pulse indicates a normal pulse and adequate circulation in the foot. While important, it does not represent an immediate concern in this context.
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Correct Answer is B
Explanation
Choice A rationale
Feet size variations are typically not a focus in adolescent development comparisons between genders.
Choice B rationale
Height differences are significant during puberty, with boys often experiencing growth spurts at different times compared to girls.
Choice C rationale
Eyesight differences are not a common developmental comparison between adolescent boys and girls.
Choice D rationale
Speech development differences exist but are not typically a focal point of peer comparison during adolescence.
Correct Answer is ["A","B","C","D"]
Explanation
A. Walks with one hand held - (9 to 12 months)
B. Sits Unsupported - (6 to 8 months)
C. Can Turn Pages in a Book - (2 to 3 years)
D. Rolls from Front to Back - (4 to 6 months)