Which nursing diagnosis would be a priority when preparing a plan of care for a child in a leg cast?
a. Risk for altered peripheral tissue perfusion
b. Risk for altered urine elimination
c. Knowledge deficit
d. Risk for infection
ANS: A
Casting can lead to compromised tissue perfusion caused by increased pressure from edema or swelling pressing on the tissues. Neurovascular checks are an assessment priority.
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What is the probable source of bright red blood in the stool?
a. Stomach b. Small intestine c. Lower gastrointestinal tract d. Higher intestinal tract
Which of the following are some of the actions and behaviors which can necessitate corrective action? Select all that apply
a. excessive absenteeism b. failing to comply with policies or procedures c. inability to complete assignments in a timely manner d. a union complaint
The nurse explains to the client that in addition to approximating the bone fragments, traction also
a. increases blood supply to the fracture site. b. increases speed of bone healing. c. reduces muscle spasm. d. reduces neuromuscular dysfunction.
The perinatal nurse knows that the most common breech presentation is a ______ breech. In this position, the fetal ______ present first in the maternal pelvis
Fill in the blank with the appropriate word.