A child sustains a supracondylar fracture of the femur. When assessing for vascular injury, the nurse should be alert for the signs of ischemia, which include:

• A.Bleeding, bruising, and hemorrhage
• B.Increase in serum levels of creatinine, alkaline phosphatase, and aspartate transaminase
• C.Pain, pallor, pulselessness, paresthesia, and paralysis
• D.Generalized swelling, pain, and diminished functional use with muscle rigidity and crepitus

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The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig's sign. The nurse expects her to react to discomfort if she:

• A.Dorsiflexes her ankle
• B.Flexes her spine
• C.Plantiflexes her wrist
• D.Turns her head to the side

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A 70-year-old homeless woman is admitted with pneumonia. She is weak, emaciated, and febrile. The physician orders enteral feedings intermittently by nasogastric tube. When inserting the nasogastric tube, once the tube passes through the oropharynx, the nurse will instruct the client to:

• A.Tilt her head backwards
• B.Swallow as tube passes
• C.Hold breath as tube passes
• D.Cough as tube passes

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Respiratory function is altered in a 16-year-old asthmatic. Which of the following is the cause of this alteration?

• A.Altered surfactant production
• B.Paradoxical movements of the chest wall
• C.Increased airway resistance
• D.Continuous changes in respiratory rate and depth

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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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