A mother whose 7-year-old child has been placed in a cast for a fractured right arm reports he will not stop crying even after taking Tylenol with codeine. He also will not straighten the fingers on his right arm
The nurse tells the mother to do which? a. Take him to the emergency department.
b. Put ice on the injury.
c. Avoid letting him get so tired.
d. Wait another hour. If he is still crying, call back.
A
Unrelieved pain and the child's inability to extend his fingers are signs of compartmental syndrome, which requires immediate attention. Placing ice on the extremity is an inappropriate action for the presenting symptoms. It is inappropriate for the nurse to tell the mother who is concerned about her child to avoid letting him get so tired. A child who has signs and symptoms of compartmental syndrome should be seen immediately. Waiting an hour could compromise the recovery of the child.
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A) Inhalation B) Contact with skin C) Ingestion of undercooked foods D) Blood-borne exposure
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Which of the following organizations requires a mechanism for addressing ethical issues?
a. American Association of Critical-Care Nurses b. American Hospital Association c. Society of Critical Care Medicine d. The Joint Commission
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The nurse knows that health teaching has been effective when the woman reports that she has adopted a number of lifestyle changes, including (choose all that apply): a. Regular exercise. b. Improved nutrition. c. A daily glass of wine. d. Smoking cessation. e. Oil of evening primrose.