A mother whose 7-year-old child has been placed in a cast for a fractured right arm reports that he will not stop crying even after taking acetaminophen with codeine. He also will not straighten the fingers on his right arm

The nurse tells the mother to 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
Feedback
A Unrelieved pain and the child's inability to extend his fingers are signs of
compartmental syndrome, which requires immediate attention.
B Placing ice on the extremity is an inappropriate action for the symptoms.
C This is an inappropriate response to give to a mother who is concerned about her
child.
D A child who has signs and symptoms of compartmental syndrome should be seen
immediately. Waiting an hour could compromise the recovery of the child.

Nursing

You might also like to view...

The nurse is assessing the respiratory status of a patient who is experiencing an exacerbation of her emphysema symptoms. When preparing to auscultate, what breath sounds should the nurse anticipate?

A) Absence of breath sounds B) Wheezing with discontinuous breath sounds C) Faint breath sounds with prolonged expiration D) Faint breath sounds with fine crackles

Nursing

When administering chloroquine (Aralen), the nurse would be most concerned about exacerbating the underlying disease of which of the following patients?

A) A 39-year-old man who smokes and drinks alcohol and has mild hepatic disease B) A 27-year-old woman who has psoriasis C) A 54-year-old woman with a blood dyscrasia D) A 21-year-old man with gastrointestinal distress

Nursing

The nurse manager is explaining her staffing budget to the hospital administration. The manager has developed a flexible staffing grid. The administration questions the nurse as to why this grid was developed

Which of the following is appropriate? 1. Staff would prefer to make out their own schedules. 2. Nursing shortages and salary constraints have affected staffing patterns. 3. Higher client acuity has contributed to increased staffing. 4. Block staffing allows for peaked workload hours.

Nursing

The ER (emergency room) staff experienced a violent client who had demanded pain medication and threatened the staff if he did not receive it. The ER nurse called the police, and the emergency room physician talked to the client in a calm manner

The physician?s ploy to ask questions regarding the client?s level and location of pain was an attempt to: 1. Distract the client. 2. De-escalate the situation. 3. Determine the client?s real reason for seeking treatment. 4. Assess the client?s level of pain.

Nursing