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oliviaamy oliviaamy
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6 years ago
When teaching care for a child immobilized in a spica cast, which is the most appropriate intervention?
 
  a. Application of talcum powder to the skin twice daily
  b. Fluid restriction to prevent loose stools or diarrhea
  c. Assessment for a sluggish capillary refill
  d. Instructing that insertion of small objects into the cast for itching or discomfort is helpful
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#1
6 years ago
C
Capillary refill that is sluggish is indicative of impaired neurovascular function. The nurse should avoid applying talcum powder because it may become sticky or cake on the skin and cause irritation. The child needs appropriate fluid intake to prevent constipation or stool impaction. This is especially important because activity is limited. The nurse should instruct caregivers that nothing should be put inside the cast. Keeping food, small toys, and sharp objects away from the cast will be important.
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