A child with a hip spica cast is being prepared for discharge. Recognizing that caring for a child at home is complex, the nurse should include what instructions for the parents' discharge teaching?
a. Turn every 8 hours.
b. Specially designed car restraints are necessary.
c. Diapers should be avoided to reduce soiling of the cast.
d. Use an abduction bar between the legs to aid in turning.
ANS: B
Standard seat belts and car seats may not be readily adapted for use by children in some casts. Specially designed car seats and restraints meet safety requirements. The child must have position changes much more frequently than every 8 hours. During feeding and play activities, the child should be moved for both physiologic and psychosocial benefit. Diapers and other strategies are necessary to maintain cleanliness. The abduction bar is never used as an aid for turning. Putting pressure on the bar may damage the integrity of the cast.
You might also like to view...
Which of the following colleagues would a nurse typically delegate to in the health care setting (select all that apply)?
a. Students b. LPNs/LVNs c. Family members at bedside d. Physicians e. Nursing assistants
A nurse demonstrates the procedure for bathing a newborn to a new mother. The next day, the nurse watches as the mother bathes the infant. The nurse determines that the mother is performing the procedure correctly if she performs which action?
A. Washes the diaper area first B. Washes the infant's chest first C. Uncovers only the body part being washed D. Uses a cotton-tipped swab to carefully clean inside the infant's nose
The nurse explains to the client why special dosing schedules are used to treat cancer. Which is a statement the nurse would state?
1. Special dosing schedules allow for normal cells time to recover from adverse effects. 2. Schedules are very rigid and follow the same timeframe for all cancers. 3. The usual pattern is 6 weeks with the medication and then 6 weeks without the medication. 4. It has been shown that the dosing schedule depends on the stage of the disease.
Flowers increase the risk for the spread of infection to patients with weakened immune systems.
Answer the following statement true (T) or false (F)