Exam 31: The Child with Musculoskeletal or Articular Dysfunction

The nurse is caring for an infant with developmental dysplasia of the hip.Which clinical manifestations should the nurse expect to observe? (Select all that apply.)

Four-year-old David is placed in Buck extension traction for Legg-Calvé-Perthes disease.He is crying with pain as the nurse assesses that the skin of his right foot is pale with an absence of pulse.Which action should the nurse take first?

Which is an appropriate nursing intervention when caring for a child in traction?

The nurse is taking care of an adolescent diagnosed with kyphosis.Which describes this condition?

Which term is used to describe a type of fracture that does not produce a break in the skin?

The nurse is conducting a staff in-service on casts.Which is an advantage to using a fiberglass cast instead of a plaster of Paris cast?

The nurse is preparing an adolescent with scoliosis for a Luque-rod segmental spinal instrumentation procedure.Which consideration should the nurse include?

The nurse is caring for a 12-year-old child with a left leg below the knee amputation (BKA).The child had the surgery 1 week ago.Which intervention should the nurse plan to implement for this child?

A school nurse is conducting a staff in-service to other school nurses on idiopathic scoliosis.During which period of child development does idiopathic scoliosis become most noticeable?

A clinic nurse is conducting a staff in-service for other clinic nurses about signs and symptoms of a rhabdomyosarcoma tumor.Which should be included in the teaching session? (Select all that apply.)

A nurse is conducting discharge teaching for parents of an infant with osteogenesis imperfecta (OI).Further teaching is indicated if the parents make which statement?

The nurse should monitor for which effect on the cardiovascular system when a child is immobilized?

A young girl has just injured her ankle at school.In addition to calling the child's parents,the most appropriate,immediate action by the school nurse is to:

An adolescent with a fractured femur is in Russell's traction.Surgical intervention to correct the fracture is scheduled for the morning.Nursing actions should include which action?

The nurse is caring for an adolescent with osteosarcoma being admitted to undergo chemotherapy.The adolescent had a right above-the-knee amputation 2 months ago and has been experiencing "phantom limb pain." Which prescribed medication is appropriate to administer to relieve phantom limb pain?

Which can result from the bone demineralization associated with immobility?

An adolescent with osteosarcoma is scheduled for a leg amputation in 2 days.The nurse's approach should include which action?

An adolescent with juvenile idiopathic arthritis (JIA)is prescribed abatacept (Orencia).Which should the nurse teach the adolescent regarding this medication? (Select all that apply.)

The nurse is caring for a 4-year-old child immobilized by a fractured hip.Which complication should the nurse monitor related to the child's immobilization status?

Which should cause a nurse to suspect that an infection has developed under a cast?