Answer: Avoid getting dirt or sand under the cast. Take care to keep the cast clean and dry. Apply ice to the cast for 10 to 20 minutes three times a day to relieve swelling and pain.
Question: A 16-year-old has been receiving total parenteral nutrition (TPN) for the last 10 days. Before discontinuing the infusion, the nurse lowers the infusion rate. What complication of TPN infusion should the nurse assess the client for as the infusion is discontinued?
Answer: Severe low blood sugar
Question: An otherwise healthy 18-month-old child with a history of febrile seizures is in the well-child clinic. Which statement by the parent indicates to the nurse that additional teaching is needed?
Answer: “I always keep phenobarbital with me in case of a fever.”
Question: The nurse develops the plan of care for a 14-year-old client who is bored due to being immobilized in a cast. Which activity is most appropriate for the adolescent?
Answer: Playing a card game with a client the same age
Question: A 13-year-old client is dying of cancer. When providing care for this client, the nurse would incorporate the developmental tasks for this age. According to Erikson’s developmental model, the child normally is expected to be working on which psychosocial issue?
Answer: Personal values
Question: An emergency room nurse is at the nurses’ station when a child’s parent runs into the hallway shouting, “Someone help! My child is shaking all over!” The nurse quickly responds and enters the room to find the child having a seizure. Which action should the nurse perform?
Answer: Begin timing the seizure and note the child’s behaviors.
Question: The parents of a school age boy newly diagnosed with hypothyroidism asks the nurse how long it will be necessary for their child to take the prescribed levothyroxine sodium. What should the nurse tell the parents?
Answer: “It will be necessary for your child to take the medication for the rest of his life.”
Question: The nurse teaches the parents of an infant who has had surgery to correct imperforate anus how to position the infant to prevent tension on the perineum. The nurse determines more teaching is needed when the parents put the infant in which position?
Answer: Abdomen, with legs pulled up under the body
Question: A 17-year-old girl with major depression states, “Life is not worth living anymore. Nothing matters.” Which response by the nurse is best to address the adolescent’s issues?
Answer: “Are you thinking about killing yourself?”
Question: The nurse is developing a care plan for a female child who is 12 years of age and receiving surgery to correct idiopathic scoliosis. Which postoperative problem is a priority?
Answer: Hypotension
Question: In the emergency room, the nurse is assessing a toddler who is currently being treated for a radius fracture and has a history of multiple fractures. The assessment reveals short stature, blue sclera, and no bruising or swelling at the fracture site. Which disorder should the nurse suspect?
Answer: Osteogenesis imperfecta