A 9-year-old patient is complaining of skin irritation from the ...

[hbsimmons88]

A 9-year-old patient is complaining of skin irritation from the edges of a cast that was applied the previous day. The nurse should take which of the following actions?
 
  1. Petal the cast edges with adhesive tape.
   2. Massage the skin at the rim of the cast.
   3. File the edges until smooth.
   4. Apply more casting material to make the edges softer.

Question 2

A 5-year-old child has been admitted for complications related to asthma. When the nurse auscultates the child's lungs, she would anticipate hearing:
 
  1. Wheezes because the bronchioles have been restricted.
   2. Rhonchi because of thick secretions from the flare-up.
   3. Crackles because there is fluid in the alveoli.
   4. All of the above may be heard.

[Carliemb17]

Answer to Question 1

1
Feedback
1. Petaling will make the edges of the cast soft and help decrease the irritation to the skin.
2. Massaging the rim may stretch or break the casting.
3. Filing the edges will cause dust to lodge inside the cast, creating a potential for skin breakdown.
4. More casting materials will not stop the roughness of the cast. It will create more.

Answer to Question 2

1
Feedback
1. Asthma constricts the airway and alveoli in children, causing wheezing to be heard when in auscultation.
2. Rhonchi usually will clear with a cough. A child with an asthma exacerbation will not stop the sound after coughing.
3. Asthma causes the narrowing of airways. Crackles occur only when fluid is present.
4. The airway and alveoli constriction causes wheezing.

[hbsimmons88]

Excellent

[tranoy]

TYSM