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 D
Explanation
Choice A rationale
Threatening a shot can cause fear and anxiety, potentially making the child more resistant to taking medication in the future.
Choice B rationale
Hiding medication in food can lead to mistrust if the child discovers it, and it's not a sustainable long-term solution.
Choice C rationale
Telling the child the medicine tastes like candy is misleading and can lead to distrust. It's important to be honest while finding practical solutions.
Choice D rationale
Offering an ice pop prior can numb the taste buds, making the medication more palatable without deceit, and can build positive associations with taking medication.
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.