Ella, an 18 month old, is brought to the clinic because the ...

[cagreen833]

Ella, an 18 month old, is brought to the clinic because the mother states that her daughter has not been putting weight on her left leg for most of the day. The doctor says that the tibia is broken after reading an X-ray.
 
  The nurse is asked to finish the discharge teaching for Ella. The nurse knows that she must discuss all of the following except: 1. Care for the cast.
   2. Care for the skin.
   3. Discuss signs and symptoms if the cast is too tight or there is an increase in swelling.
   4. Schedule only one follow appointment in six weeks.

Question 2

When a teen asks the nurse if tattoos are safe, the nurse's best response would be:
 
  a. Tattoos are not professional, and you should not get one..
  b. All tattoo parlors use sterile needles and gloves, and you don't need to worry..
  c. There is a risk for tetanus, HIV, and hepatitis B if proper precautions are not taken..
  d. Tattoos are only appropriate for boys. Nice girls shouldn't get one..

[aliotak]

Answer to Question 1

4
Feedback
1. This will aid in keeping the cast intact and clean.
2. The teaching will encourage the child and family to be aware of areas of skin breakdown to prevent complications.
3. Tightness and an increase in swelling may be an indication the cast is too tight.
4. Reoccurring appointments will be needed to make sure that the tibia is healing properly.

Answer to Question 2

C
The nurse should give accurate information. The nurse should not impose his or her own values on the teen. The nurse will not encourage discussion and exploration of ideas if the teen is not allowed to freely communicate.

[cagreen833]

Thanks for the timely response, appreciate it

[debra928]

Excellent