A child just had a long-leg cast placed after an open reduction ...

[codyclark]

A child just had a long-leg cast placed after an open reduction and fixation of a femur fracture. What interventions are appropriate for the nurse to include in the child's plan of care? (Select all that apply.)
 
  A.
  Assess the 4 Ps every hour, with vital signs.
  B.
  Elevate the leg and apply ice for short periods.
  C.
  Ensure that the proximal edge of the cast stays clean.
  D.
  Handle the cast carefully when wet to prevent dents.
  E.
  Use a hand-held dryer to help the cast dry faster.

Question 2

An 8-year-old child is being treated for suspected tetanus. Which medications are appropriate for this child? (Select all that apply.)
 
  A.
  Ceftriaxone (Rocephin)
  B.
  Clindamycin (Cleocin)
  C.
  Erythromycin (Erythrocin)
  D.
  Penicillin G (Pfizerpen)
  E.
  Tetracycline (Sumycin)

[Kaytorgator]

Answer to Question 1

ANS: B, C, D
Appropriate interventions for the child with a cast include assessing the 5 Ps along with vital signs, elevating and icing the leg, keeping the proximal edges clean as part of hygiene, handling the cast carefully when wet to prevent denting, and allowing the cast to air dry.

Answer to Question 2

ANS: C, D
Penicillin G and erythromycin are appropriate choices for this child. Older children can take tetracycline once they have all their adult teeth. Ceftriaxone and clindamycin are not used.

[codyclark]

Thank you

[Kaytorgator]

Happy to help you