A 4-year-old child with a long leg cast complains of fire in his ...

[frankwu]

A 4-year-old child with a long leg cast complains of fire in his cast. The nurse should:
 
  a. notify the physician on his next rounds.
  b. chart the complaint in the nurse's notes.
  c. notify the physician immediately.
  d. report the complaint to the next nurse on duty.

Question 2

The nurse is caring for a child from a Middle Eastern family. Which interventions should the nurse include in planning care? Select all that apply.
 
  a. Include the father in the decision making.
  b. Ask for a dietary consult to maintain religious dietary practices.
  c. Plan for a male nurse to care for a female patient.
  d. Ask the housekeeping staff to interpret if needed.

[wfdfwc23]

Answer to Question 1

C
A burning sensation under the cast is an indication of tissue ischemia. It may be an early indication of serious neurovascular compromise, such as compartment syndrome, that requires immediate attention. The child's presenting symptom requires immediate attention. Notifying the physician on the next rounds is inappropriate. Charting the complaint in the nurse's notes is an inappropriate action. Careful notation of symptoms is important, but the priority action is to contact the physician. Communication across shifts is important to the continuing assessment of the child; however, this symptom requires immediate evaluation, and the physician should be contacted.

Answer to Question 2

A, B
The man is typically the head of the household in Muslim families. So the father should be included in all decision making. Muslims do not eat pork and do not use alcohol. Many are vegetarians. The dietician should be consulted for dietary preferences. Muslim women often prefer a female healthcare provider because of laws of modesty; the female client should not be assigned a male nurse. A housekeeping staff should not be asked to interpret. When interpreters are used, they should be of the same country and religion, if possible, because of regional differences and hostilities.

[frankwu]

Gracias!

[tkempin]

Excellent