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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?

A.

Discourage the client from ambulating.

B.

Keep the client's leg in a dependent position.

C.

Use a hair dryer on a hot setting to dry the cast.

D.

Perform a neurovascular check of the lower extremities.

Answer and Explanation

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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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Headache could indicate various conditions but is not immediately life-threatening post-surgery. It may be due to medication or anesthesia but is not the priority.

Choice B rationale

Altered level of consciousness (LOC) is a critical finding. It may indicate complications such as hemorrhage, fat embolism, or hypoxia, which require urgent assessment and intervention.

Choice C rationale

Muscle spasms can be a common symptom post-surgery due to pain or positioning. While they need management, they do not take precedence over LOC changes.

Choice D rationale

An oral temperature of 37.7°C is slightly elevated but not alarming. It may be due to the body's normal inflammatory response post-surgery.

Correct Answer is D

Explanation

Choice A rationale

A brightly-colored mobile is suitable for infants who are visually stimulated by motion and color but not appropriate for a 4-year-old.

Choice B rationale

A checkerboard and checkers are more suitable for older children or adolescents who have developed advanced cognitive and strategic thinking skills.

Choice C rationale

A 100-piece jigsaw puzzle is also more appropriate for older children or adolescents with well-developed problem-solving and fine motor skills.

Choice D rationale

Hand puppets are suitable for a 4-year-old as they encourage imaginative play, storytelling, and fine motor skill development.

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