COMPLETE HESI PEDIATRICS EXAM (55 QUESTIONS AND ANSWERS WITH RATIONALE (ACTUAL EXAM) |VERIFIED ANSWERS 2023

COMPLETE HESI PEDIATRICS EXAM (55 QUESTIONS AND ANSWERS WITH RATIONALE (ACTUAL EXAM) |VERIFIED ANSWERS 2023 A child has been treated in the emergency department for a fractured distal radius. The nurse has reinforced instructions for care of the cast at home. The nurse realizes additional instruction is needed if the caregiver makes which comments? (Select all that apply.) a. "It is normal for the child to not be able to move the fingers very well after the cast is applied." b. "If my child is itching under the cast, I can use sterile cotton tipped applicators under the cast to scratch it." c. "If my child's arm is hurting so badly, and pain meds have not worked, I should bring the child back to the emergency department." d. "If my child's fingers begin to be cold or blue, I should try to wrap up his fingers in some warm cloths." e. "I will need to make sure the child does not get the cast wet, I can use plastic wrap around the cast for bathing." {{Correct Ans- a. "It is normal for the child to not be able to move the fingers very well after the cast is applied." b. "If my child is itching under the cast, I can use sterile cotton tipped applicators under the cast to scratch it." d. "If my child's fingers begin to be cold or blue, I should try to wrap up his fingers in some warm cloths." Rationale: The parents should be educated that not being able to move the fingers after cast application indicates possible compartment syndrome and potential damage to nerves and vessels of the arm. Extreme pain not relieved by analgesics, or cold, blue fingers also indicate possible compartment syndrome. If compartment syndrome is suspected, the nurse should contact the health care provider immediately. The child should not insert any object under the cast because this can cause an infection in the irritated skin area. Parents should be instructed to keep the cast dry while bathing.