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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?

A.

Capillary refill less than 2 seconds.

B.

Tingling in the right foot.

C.

Respiratory rate 24/min.

D.

2+ right pedal pulse.

Answer and Explanation

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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View Related questions

Correct Answer is D

Explanation

Choice A rationale

Assisting with crutch walking is necessary but should occur only after ensuring the cast is properly set and stable to avoid injury.

Choice B rationale

Avoiding touch until the cast is dry is unnecessary and impractical. The nurse can handle the cast gently without causing damage.

Choice C rationale

Using a heat lamp can lead to skin burns or uneven drying, which might weaken the cast.

Choice D rationale

Applying moleskin to the edges protects the child’s skin from irritation and breakdown, promoting comfort and skin integrity.

Correct Answer is D

Explanation

Choice A rationale

Hearing tests are important for children, but they are typically conducted earlier in childhood to detect any hearing impairments that may affect speech and language development.

Choice B rationale

Reading screenings are not typically part of routine health checks at this age and are more related to educational assessments.

Choice C rationale

Eye screenings are also important but are generally performed earlier in childhood to identify and correct vision issues that could impact learning.

Choice D rationale

Scoliosis screening is appropriate for a 10-year-old as it is a crucial period for identifying spinal curvature abnormalities that can develop during rapid growth spurts.

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