(Preschooler) NEWEST VERSION 2025-2026 \COMPLETE
QUESTIONS AND ACCURATE DETAILED ANSWERS \VERIFIED
100% GRADED A+
As the nurse assumes care Immobilize the injury.
for the client, which actions This will prevent further damage to the leg.
are most important for the
nurse take? (Select all that Assess neurovascular status every hour.
This helps the nurse to verify adequate profusion to the
apply. One, some, or all
extremity.
options may be correct.).
Select all that apply:
Elevate the affected extremity.
Emergency care of a fracture includes assessment,
Immobilize the injury.
determination of mechanism of injury, covering the
Perform range of motion
wound, immobilization, monitoring of neurovascular
(ROM) exercises to the
status,
affected limb.
elevation, application of cold therapy, and application
Assess neurovascular status
of traction if needed. Elevation will decrease swelling
every hour. Realign the bone
to the injury.
to reduce pain.
Elevate the affected
extremity.
The nurse identifies that a priority Hemoglobin of 9.5 g/dl (95 g/L).
nursing diagnosis is injury risk This is a low value. A low hemoglobin will not provide
for peripheral sufficient oxygen for tissue repair.
neurovascular
compromise. Which lab
value would be of most
concern for the nurse?
WBC of 11,500/mcL (11.5 x 109/L).
Hemoglobin of 9.5 g/dl (95 g/L).
Platelet count of 200 x 103/mcL
(200 x 109/L).
Reticulocyte count of 2% (0.02
proportion
of 1.0).
,The nurse assesses for Administer another dose of morphine immediately.
pain. The child points to Lack of activity may indicate pain in the preschooler, an age at
which a child is
the FACES pain scale
normally always on the go. Preschoolers may not be
rating
able to localize pain clearly. The child has clearly
indicating a high level of
identified the degree of pain on the FACES scale and
pain, but she is lying still
should be medicated accordingly.
and seems vague about
the
location of the pain when
asked by the
nurse. A prescription for IV
morphine every 4 hours is
available. The child is due a
dose of morphine, and the
transport team is en route
to escort her to surgery.
Based on this assessment, what
is the best nursing
intervention?
Administer another dose of
morphine immediately.
Ask the OR nurse to
administer the
medication once the child
arrives to the OR.
Use distraction methods
rather than analgesics
until she goes to
surgery.
Hold the dose due and
document that pain
assessment findings are
inconsistent.
The prescribed dose of 0.6
morphine reads, "Administer
morphine sulfate 0.2 mg/kg IV
, every 3 to 4 hours." The
client weighs 33 pounds. The
tubex of morphine contains 5
mg/mL.
How many mL of medication
should the nurse
administer?
(Enter numeric value only. If
rounding is necessary, round
to the nearest tenth.)
The client goes to surgery, The pull of the traction on the pins.
where reduction and fixation Skeletal traction applies the pull directly on the skeletal
structures. The nurse should
is performed. Following
immediately assess the pull of the traction on the pins.
surgery, the client is
This is critical to the success of the traction and the first
transferred to the
priority when the client arrives to the unit.
orthopedic nursing unit
where she will be in
skeletal traction for
several weeks.
Upon arrival to the unit,
which nursing assessment
has the greatest priority?
Inspect the pin sites for
redness.
The pull of the traction
on the pins. The heart
rate and blood
pressure. The
condition of the
dressing.