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onur onur
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6 years ago
A child with a hip spica cast is being prepared for discharge. Recognizing that caring for a child at home is complex, the nurse should include what instructions for the parents' discharge teaching?
 
  a. Turn every 8 hours.
  b. Specially designed car restraints are necessary.
  c. Diapers should be avoided to reduce soiling of the cast.
  d. Use an abduction bar between the legs to aid in turning.
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wrote...
6 years ago
ANS: B
Standard seat belts and car seats may not be readily adapted for use by children in some casts. Specially designed car seats and restraints meet safety requirements. The child must have position changes much more frequently than every 8 hours. During feeding and play activities, the child should be moved for both physiologic and psychosocial benefit. Diapers and other strategies are necessary to maintain cleanliness. The abduction bar is never used as an aid for turning. Putting pressure on the bar may damage the integrity of the cast.
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