Exam 24: The Child with a Musculoskeletal Condition

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On entering the room of a child in Buck's traction,the nurse makes all of the following observations.Which observation requires a nursing intervention?

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A

A nurse assessing welts on the body of a 2-year-old Vietnamese child should consider the skin lesions might be the result of the cultural practice of __________.

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coining
Some Vietnamese place heated coins on the body to cure disease.This practice leaves welts that are sometimes mistaken for child abuse.

The parent of a child with osteomyelitis asks why his child is in so much pain.What will the nurse respond causes the pain experienced with osteomyelitis?

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B

Why does a child's fracture heal more rapidly than the adult's?

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What factor(s) may trigger abuse in a parent?

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The nurse is providing instructions about how to treat a sprained ankle.What statement by the mother does the nurse recognize as indicative of a need for additional teaching?

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What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?

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The nurse recognizes the signs of ____________________ syndrome in a child in "90-90" traction when the toes are pale and edematous and have a very slow capillary refill.

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What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis?

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What would the nurse consider an abnormal finding on a musculoskeletal assessment of a 4-year-old child?

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A 13-year-old girl is diagnosed with functional scoliosis.What does the nurse explain as the cause of this spinal curvature defect?

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The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.

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Which assessment performed by a nursing student performing a neurovascular check alerts the instructor that further education is necessary?

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The nurse is checking for capillary refill on a child in Bryant's traction.How long does it take for the toe to regain color if adequate perfusion is assessed?

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The child with Duchenne's muscular dystrophy must push on his legs and "walk up the leg" in order to rise to a standing position.The nurse recognizes this characteristic behavior as _______________ maneuver.

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Which intervention would be helpful in relieving morning discomfort associated with juvenile rheumatoid arthritis?

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How does the pediatric skeletal system differ from that of the adult?

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The nurse reminds the adolescent boy with Ewing's sarcoma that he is prohibited from vigorous weight-bearing activities during treatment with radiation to reduce the risk of a(n)_______________ fracture.

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The nurse performing a neurovascular check on a limb in traction would report and document which finding(s)as indicative of altered circulation?

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What nursing action will significantly decrease the risk of serious complications for a child in Bryant's traction?

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