Author Question: When the child comes back from surgery after the correction of a clubfoot, the nurse assesses a ... (Read 38 times)

Marty · **on:** Jun 27, 2018

When the child comes back from surgery after the correction of a clubfoot, the nurse assesses a discolored area on the cast. The initial intervention of the nurse should be:

a. Make a note in the patient record
b. Notify the charge nurse
c. Circle the area and write the time
d. Elevate the limb

Question 2

What should the nurse anticipate when reviewing laboratory results of a patient with Guillain-Barre syndrome?

1. Elevated CBC
2. High protein in a cerebral spinal fluid tap
3. Creatinine phosphokinase elevated
4. Sensory nerve conduction time increased

IRincones · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
The initial intervention should be to circle the area and write the time on the cast in order to evaluate if the area changes in size. After this initial intervention, the limb is elevated, the charge nurse or physician is notified, and a note is made in the patient record.

Answer to Question 2

2
Feedback
1. The CBC should be within normal ranges.
2. The high protein in the cerebral spinal fluid is because of the inflammation to the area.
3. The laboratory results should be within normal limits.
4. The nerve conduction time is decreased.