A nurse is caring for an adolescent following the application of a plaster cast for a fractured right tibia.
Which of the following actions should the nurse take?
Discourage the client from ambulating.
Keep the client's leg in a dependent position.
Use a hair dryer on a hot setting to dry the cast.
Perform a neurovascular check of the lower extremities.
The Correct Answer is D
Choice A rationale
Discouraging the client from ambulating is not necessary. In fact, early ambulation is often encouraged to promote circulation and prevent complications, depending on the fracture
type and treatment plan.
Choice B rationale
Keeping the client's leg in a dependent position is not recommended as it can increase swelling and pain. Elevating the leg is typically advised to reduce swelling.
Choice C rationale
Using a hair dryer on a hot setting to dry the cast is unsafe as it can cause burns and damage the cast. It's better to allow the cast to dry naturally and follow the healthcare provider's
instructions.
Choice D rationale
Performing a neurovascular check of the lower extremities is crucial to assess circulation, sensation, and movement. This helps in identifying any complications such as impaired
blood flow or nerve damage.
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Correct Answer is B
Explanation
Choice A rationale
Learning to use creative energies is associated with the initiative vs. guilt stage, typically seen in preschool-aged children. During this stage, children assert control and power over their environment through directing play and other social interactions.
Choice B rationale
Defining a sense of self pertains to the identity vs. role confusion stage, which occurs in adolescence. This stage focuses on developing a personal identity and a sense of self. Adolescents explore different roles, beliefs, and values to form a unique identity.
Choice C rationale
Building a sense of trust is linked with the trust vs. mistrust stage, experienced in infancy. In this stage, infants learn to trust their caregivers and environment if their needs are consistently met, establishing a foundation for future relationships.
Choice D rationale
Learning to perform tasks independently corresponds to the autonomy vs. shame and doubt stage, typical of toddlers. In this stage, children develop a sense of personal control over physical skills and a sense of independence.
Correct Answer is B
Explanation
Choice A rationale
Learning to use creative energies relates to the initiative vs. guilt stage, aimed at preschool children, where they begin asserting power and control over their world through play and social interactions.
Choice B rationale
Defining a sense of self is a task during the identity vs. role confusion stage in adolescence. Adolescents work on discovering who they are by exploring beliefs, values, and goals to create a consistent and unique identity.
Choice C rationale
Building a sense of trust is a task during the trust vs. mistrust stage of infancy. Infants need reliable caregiving to develop trust in their environment and the people around them.
Choice D rationale
Learning to perform tasks independently occurs in the autonomy vs. shame and doubt stage, which is observed in toddlers. This stage is about children gaining confidence in their abilities to perform basic tasks on their own.