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Exam NCLEX-RN topic 4 question 130 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 130
Topic #: 4
[All NCLEX-RN Questions]

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 most essential during the first
24 hours after surgery and cast application?

  • A. Mobilization of the child
  • B. Discharge teaching
  • C. Pain management
  • D. Assessment of neurovascular status
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Suggested Answer: D 🗳️
(A) Mobilization is important but not absolutely essential. (B) Discharge teaching should be initiated prior to surgery as well as during the postoperative period. (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.
by [deleted] at March 10, 2025, 6:50 a.m.

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