Which are appropriate interventions for the nurse to include in the plan of care for a child who is casted? Select all that apply
1. Monitoring breath sounds
2. Assessing neurovascular status every 4 hours
3. Repositioning every 2 to 3 hours
4. Using moleskin to protect the skin from rough edges
5. Encouraging the parents cuddle with their child
1, 3, 4, 5
Explanation:
1. Children who are casted are at risk for atelectasis and pneumonia; therefore, the nurse should monitor breath sounds frequently.
2. Child who are casted are at risk for circulatory compromise; therefore, the nurse should perform neurovascular checks every 2, not 4, hours.
3. Repositioning every 2 to 3 hours is appropriate for a child who is casted.
4. Using moleskin to protect the skin from rough edges is appropriate for a child who is casted.
5. Children who are casted should be allowed to cuddle with parents to promote developmentally appropriate care.
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