A 5-year-old boy presents to the emergency department with a history of a motor vehicle accident. He was restrained in the backseat, and the car was hit head on. He has a swollen and deformed left thigh. He is in extreme pain
He has frequent muscle spasms. X-rays reveal a midshaft femur fracture. As you prepare the child prior to surgery, you will assist with anticipatory guidance as well as show and discuss a spica cast. What information will be helpful to this young boy? 1. A hard cast from your waist to your toes will protect your leg so it can heal.
2. We can put a cast like yours on your bear.
3. The IV will give you medicine to make you sleep, wake up, and help with the pain.
4. All of the above.
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1. Clear explanations in easy to understand language for this age group will help this child cope with new and uncomfortable experiences. Using hands-on demonstrations and familiar play things assist with decreasing anxiety about the unknown.
2. Placing a cast on a stuffed animal may help decrease the anxiety of the patient.
3. Using hands-on demonstrations and familiar play things assist with decreasing anxiety about the unknown.
4. Clear explanations in easy to understand language for this age group will help this child cope with new and uncomfortable experiences. Using hands-on demonstrations and familiar play things assist with decreasing anxiety about the unknown.
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A client with a dissociative disorder is going through the therapeutic process. What is the ultimate goal of the therapeutic process for this patient?
A) To identify the traumatic event that caused the dissociation B) To get the client in touch with his or her negative feelings about the traumatic event C) To assist in diagnosing which dissociative disorder the client has D) To integrate the fragmented personalities into one identity
The patient whose lower extremities were crushed in a motor vehicle accident is likely experiencing "fight-or-flight." Which finding would the nurse attribute to that neuroendocrine response?
1. Heart rate is 78. 2. Bowel sounds are diminished. 3. The patient has very little bleeding from the injury. 4. The patient has decreased level of consciousness.
The nurse is caring for a client with mitral valve stenosis. What clinical manifestation alerts the nurse to the possibility that the client's stenosis has progressed?
a. Oxygen saturation of 92% b. Dyspnea on exertion c. Muted systolic murmur d. Upper extremity weakness