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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

A 6-month-old infant typically grasps objects voluntarily, which is a normal developmental milestone.

Choice B rationale

The posterior fontanel usually closes between 2 to 3 months of age, so it being closed at 6 months is normal.

Choice C rationale

It's expected for an infant's birth weight to double by about 5 to 6 months of age, indicating healthy growth.

Choice D rationale

Head lag in a 6-month-old indicates a delay in motor development and should be reported as it can signal neurological issues.

Correct Answer is A

Explanation

Choice A rationale

Collecting objects like rocks reflects the interest in categorizing and organizing, which aligns with the industry vs. inferiority stage for school-age children.

Choice B rationale

Wanting to do well in school also fits with the industry vs. inferiority stage, where children gain pride from achieving tasks and being competent.

Choice C rationale

Doing simple math problems in one's head indicates cognitive development but doesn't directly align with the psychosocial development focus.

Choice D rationale

Following rules set by parents is important, but it's more about conforming to authority rather than indicating psychosocial development specific to industry vs. inferiority.

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