H&I II- module 2 practice questions

Carl is a 3 year old with a fever of 38.6, he weighs 22 lbs. you are going to give him Tylenol 15 mg/kg & it comes in 160 mg per 5 mL. how much would you give him? round to the nearest tenth

4.7 mL

a 4-year-old has a cast & is complaining of itching. what options can can you give to make them more comfortable?

apply an ice bag for 1 hour

a patient with a fractured arm is complaining of pain. what options are suitable for pain management?

apply ice for 15 minutes, muscle relaxers

a patient with a spinal cord injury at the T1 level complains of a severe headache and an anxious feeling. which is the most appropriate initial reaction by the nurse?

assess for a full bladder

a patient with a spinal cord injury (SCI) is admitted to the unit and placed in traction. which of the following actions is the nurse responsible for when caring for this patient?

assessing the patient's skin integrity, administering pain medication, providing passive range of motion

the nurse is preparing a teaching plan for a patient who is being discharged following a total hip replacement. the nurse would include which part of the following content as a part of the teaching plan?

avoid low, cushioned chairs; use a device that raises toilet seat; avoid bending greater than 90 degrees; do not cross the legs

the parent of a 3-week-old states that the infant was recast this morning for clubfoot & has been crying for the past hour. which intervention should the nurse suggest the parent do first?

check the neurocirculatory status of the foot

a parent calls stating her child has a swollen elbow from a bug bite, the redness is circumferential. the child cannot bend their arm & the arm is pale & the child complains of tingling fingers. the nurse should be concerned for:

compartment syndrome

while caring for a patient with SCI, the nurse elevates the head of the bed, removed compression stockings, & continues to assess vital signs every 2-3 minutes while searching for the cause in order to prevent LOC or death. by practicing these interventions, the nurse is avoiding the most dangerous complication of autonomic dysreflexia, which is which of the following?

elevated blood pressure

a patient with a femur fracture complains of chest pain & feels anxious. the nurse should be concerned for:

fat embolism

which is the nurse's best explanation to the parent of a toddler who asks what a greenstick fracture is?

it is a fracture that does not go all the way through the bone

when giving discharge instructions for cast care the nurse includes:

keep the hand at the level of the heart

when caring for a patient with an external fixture a priority is to:

monitor for infection

a patient complains of tingling & numbness in his right leg following application of a long leg cast. the patient's discomfort is most likely the result of:

nerve compression

while in Buck's extension traction, the client may be positioned:

on the back, turning to the unaffected side for 10 to 15 minute periods

when teaching cast care, the nurse instructs the client to:

report changes in sensation or mobility to the area

a 6-year-old involved in a bicycle crash has a spleen injury & a right tibia/fibula fracture that has been cast. which is/are early sign(s) of compartment syndrome in this child?

severe pain, weak pulse

a nurse is caring for a client with a spinal cord injury who reports a severe headache and is sweating profusely. vital signs include BP 220/110, apical pulse rate 54 bpm. which of the following actions should the nurse take first?

sit the client upright in bed

an expected outcome of cast application that the nurse evaluates is:

slight edema, soreness, & limitation of range of motion

the patient is admitted with injuries that were sustained in a fall. during the nurse's first assessment upon admission, the findings are: BP 90/60 (as compared to 136/66 in the ED), flaccid paralysis on the right, absent bowel sounds, zero urine output, & palpitation of a distended bladder. these signs are consisted with which of the following?

spinal shock

your patient is post operative SCFE (slipped epiphyseal head). the patient develops a fever on day 3, the wound is red & draining. the nurses priority concerned should be for:

wound infection