Exam 29: Caring for the Child With a Musculoskeletal Condition

A 10-year-old child has had a sunken chest since birth,but has recently been noted to have activity intolerance when playing.Which diagnostic testing does the nurse teach the child and parents about?

A 15-year-old boy is brought to the emergency room by his parents following an injury to his arm that occurred during football practice.The x-ray shows a diagonal line that coils around the bone.Based on this x-ray,which type of fracture does the nurse prepare to teach the family about?

A nurse is completing a Pediatric Fall Risk Assessment on a child.The child has had no falls in the last 3 months,had surgery to repair a femur fracture on admission,is learning to use crutches,has a saline lock,is oriented to own ability,and is on narcotics.This child's fall risk score is ____________________.

A nurse is teaching part of a babysitting class to teenagers.Which information about fractures does the nurse include in the lesson?

A child is going home with a distractor in place after surgery to repair syndactyly.Which discharge teaching is most important?

An 8-year-old girl has a third-degree sprain of the ankle.Based on this diagnosis,which teaching points will the nurse include in the teaching plan for this patient and family?

A nurse is caring for a patient with juvenile arthritis during an exacerbation.The child weighs 95 lb (43 kg).The physician orders sulfasalazine (Azulfidine)to be given in two divided doses per day.The safe dose range for a single dose of this drug for this child is ____________________ mg per dose.

An infant hospitalized with multiple fractures has just been diagnosed with osteogenesis imperfecta.The nurse finds the parents crying.Which response by the nurse is the most appropriate?

A home health-care nurse is visiting a child with Duchenne's muscular dystrophy (MD).The child has a new cough,poor appetite,fatigue,and a reddened area on his coccyx from sitting in his wheelchair all day.What intervention by the nurse takes priority?

The nurse is providing care to a pediatric patient who suffered an ankle sprain.Which interventions are appropriate to include in the patient's plan of care?

The student nurse studying the anatomy of the musculoskeletal system understands that bones are classified by their size and shape.How does the student classify the pelvis?

A nurse is caring for a patient in Crutchfield tongs.Which assessment finding requires immediate notification to the health-care provider?

A child who has been limping for several weeks is brought to the clinic and undergoes radiological studies.The results show osteonecrosis.Which information does the nurse plan to teach the parents about their child's condition?

A pediatrician asks a patient with a knee injury to squat.Which disorder is this patient suspected of having?

The parents of a 3-year old cannot understand how their child has developed osteoporosis,stating "We didn't think children could get this disease." Which assessment by the nurse is most important?

A woman who wishes to become pregnant again consults with the nurse about preventing her child from being born with clubfoot.She has two other children,both treated for this disorder.Which information does the nurse provide about preventing clubfoot?

A child has been hospitalized with an acute-grade IV slipped femoral capital epiphysis (SFCE)and is on bedrest awaiting surgical correction.A new nurse places the following interventions on the child's care plan.Which intervention leads the experienced nurse to intervene?

An adolescent expresses frustration over how long his football injury to a tendon is taking to heal.Which response by the nurse is the most appropriate?

A child has been hospitalized with suspected osteomyelitis.The child's white blood cell count (WBC)is 22,000/mm³ and his C-reactive protein is 15 mg/dL.Which conclusion by the nurse is appropriate based on these laboratory values?

The nurse is providing care to a pediatric patient admitted for a workup of bone deformity.The latest laboratory values indicate calcium at 6.6 mg/dL and phosphorus at 2.1 mg/dL.Which condition does the nurse correlate with these values?