Author Question: What would be included in the plan of care for a child just returned to the floor from surgery in ... (Read 56 times)

mwit1967

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What would be included in the plan of care for a child just returned to the floor from surgery in which a clubfoot was repaired? (Select all that apply.)
 
  a. Keep cast uncovered to allow drying.
  b. Check toes for capillary refill.
  c. Circle with a pen any area of bleeding on the cast.
  d. Keep casted leg lowered.
  e. Observe for skin irritation.

Question 2

What will the nurse include in the plan of care when caring for an infant with an intracranial hemorrhage? (Select all that apply.)
 
  a. Keep positioned with head elevated.
  b. Feed slowly to reduce possibility of vomiting.
  c. Stimulate often to maintain level of consciousness.
  d. Hold and coddle frequently to stimulate.
  e. Observe for increased intracranial pressure.



Galvarado142

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Answer to Question 1

ANS: A, B, C, E
The casted leg should be kept elevated. All the other options are necessary nursing interventions for a child who is freshly casted.

Answer to Question 2

ANS: A, B, E
These children should be kept positioned with the head elevated, fed slowly, and monitored for increased intracranial pressure. Children with intracranial hemorrhages are not stimulated and are kept in a quiet environment.



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