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NCLEX-RN · Question #393

Following her surgery, a 5-year-old child will return to the pediatric unit with a long-arm cast. She experienced a supracondylar fracture of the humerus near the elbow. Which nursing action is…

The correct answer is D. Assessment of neurovascular status. (A) Mobilization is important but not absolutely essential. (B) Discharge teaching should be initiated prior to surgery as well as during the postoperative (C) Assessment and management of pain are necessary and high in priority. (D) Neurovascular status of the extremity is of…

Physiological Integrity: Reduction of Risk Potential

Question

Following her surgery, a 5-year-old child will return to the pediatric unit with a long-arm cast. She experienced a supracondylar fracture of the humerus near the elbow. Which nursing action is mostessential during the first 24 hours after surgery and cast application?

Options

  • AMobilization of the child
  • BDischarge teaching
  • CPain management
  • DAssessment of neurovascular status

How the community answered

(58 responses)
  • A
    5% (3)
  • B
    10% (6)
  • C
    2% (1)
  • D
    83% (48)

Explanation

(A) Mobilization is important but not absolutely essential. (B) Discharge teaching should be initiated prior to surgery as well as during the postoperative (C) Assessment and management of pain are necessary and high in priority. (D) Neurovascular status of the extremity is of primary importance. The risk of circulatory impairment exists with any cast application. This type of fracture is common in children. A high incidence of neurovascular complications exists with fractures near the elbow.

Topics

#neurovascular assessment#supracondylar fracture#cast care#postoperative monitoring

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