Practice Question
A nurse is providing discharge teaching to the parents of a school-age child following surgery and cast application to the right forearm. Which of the following information is the priority for the nurse to include?
Answer Choices:
Correct Answer:
Monitor for pallor or swelling in the child's affected hand.
Rationale:
✋Neurovascular compromise after casting is the priority risk; pallor, swelling, increasing pain, paresthesia, paralysis, and pulselessness (6 Ps) require immediate evaluation.
✋Pallor and distal edema indicate possible impaired perfusion from excessive tightness or compartment syndrome, which can cause irreversible tissue damage.
✋Parents must know to elevate the limb, frequently check capillary refill and finger motion, and report worsening symptoms without delay.
✋Early detection permits timely cast splitting or bivalving to restore circulation.
✋Teaching emphasizes safety and limb salvage, which supersede comfort measures like itch control.
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This question is from RN PEDIATRIC NURSING 2023 (1) which contains 64 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pediatrics
- Answer Choices: 4