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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View Related questions
Correct Answer is D
Explanation
Choice A rationale
Punishing a toddler after a tantrum may reinforce negative behavior as the child may seek attention through tantrums.
Choice B rationale
Telling a toddler that tantrums are unacceptable can be difficult for them to understand and may not prevent the behavior.
Choice C rationale
Offering rewards for stopping tantrums can lead to dependency on rewards and doesn't teach appropriate emotional regulation.
Choice D rationale
Ignoring tantrums helps to avoid reinforcing the behavior, teaching the child that tantrums will not gain attention.
Correct Answer is A
Explanation
Choice A rationale
Asymmetric thigh folds are a common sign of developmental dysplasia of the hip (DDH) in infants. This physical examination finding indicates that the hips are not aligned properly, which can cause the folds in the thighs to appear uneven.
Choice B rationale
A shortened thigh, rather than a lengthened one, on the affected side is more typical of DDH. It is due to the femoral head not being properly seated in the hip socket, which can cause a discrepancy in leg length.
Choice C rationale
An inwardly turned foot is not a characteristic finding of DDH. This symptom is more commonly associated with conditions affecting the feet and lower legs, such as clubfoot.
Choice D rationale
The absence of plantar reflexes is not typically associated with DDH. This reflex involves a different part of the nervous system and is not linked to hip dysplasia.