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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 C

Explanation

Choice A rationale

Allowing an additional 30 minutes of play before bedtime can lead to overstimulation and delay the child's ability to settle down for sleep. Consistent bedtime routines are crucial for

establishing healthy sleep patterns in children.

Choice B rationale

Letting the child sleep in the parent's bed can create dependency and difficulty in establishing the child's own sleep routine and space. This practice can disrupt both the parent's and

child's sleep in the long term.

Choice C rationale

Keeping a night light on provides a sense of security and comfort for a child who may be afraid of the dark. This helps the child feel safe and can ease the transition to bedtime.

Choice D rationale

Staying with the child until they fall asleep, especially if crying, can reinforce the behavior and make it harder for the child to develop self-soothing skills. It can lead to increased

dependency on the parent's presence to fall asleep.

Correct Answer is B

Explanation

Choice A rationale

Infants typically do not double their birth weight by 2-3 months. This milestone is more commonly reached slightly later in infancy.

Choice B rationale

By 5-6 months, many infants double their birth weight, indicating healthy growth and development. This timeline aligns with common pediatric growth patterns.

Choice C rationale

While growth continues at a steady pace, most infants have already doubled their birth weight before reaching 9 months. This age generally marks further physical and

developmental milestones.

Choice D rationale

By 12 months, infants have typically more than doubled their birth weight. This age is associated with continued growth, development, and new milestones.

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