Exam 24: The Child With a Musculoskeletal Condition

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A child hospitalized for treatment of osteomyelitis complains that he is tired of being sick and wants to know when the antibiotic protocol will end. The nurse responds that antibiotic therapy will probably last for:

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B

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

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pathological
Explanation: The bone has lost its integrity because of the cancer and the following radiation. Excessive or vigorous weight bearing can cause a pathological fracture of the compromised bone.

The nurse demonstrates how all traction devices: Select all that apply.

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A, B, D, E

In planning teaching to parents of a child with Legg-Calvé-Perthes disease about the long-term effects of this disease, the nurse would include that:

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The nurse assessing a child with juvenile rheumatoid arthritis notes the child's right knee and ankle are swollen, warm, and tender. This finding is suggestive of the _____ type of juvenile rheumatoid arthritis.

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The nurse explains that Russell traction is a type of skin traction that:

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

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The nurse caring for a child in Bryant's traction knows that the risk of serious complications will be reduced by ensuring that:

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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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The nurse providing instructions to an adolescent who has been fitted with a Milwaukee brace would teach the patient to:

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The nurse caring for a child in Buck's skin traction will keep the:

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The nurse, assessing the neurovascular status of a child in Russell traction, should report immediately the finding of:

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When caring for a child in Buck's extension, the nurse would include:

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The interventions that would be helpful in relieving morning discomfort associated with juvenile rheumatoid arthritis would be:

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The nurse notes as an abnormal finding on a musculoskeletal assessment of a 4-year-old that the child:

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A nurse assessing a preadolescent child for scoliosis would:

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The nurse who is checking for capillary refill on a child in Bryant's traction will record adequate perfusion if the toe regains color in _____ seconds

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When a 13-year-old girl is diagnosed with functional scoliosis, the nurse would explain the spinal curvature defect is usually caused by:

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The nurse understands a difference in the child's skeletal system as compared to an adult's is:

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The parent of a child with osteomyelitis asks why his child is in so much pain. The nurse's response will be based on the understanding that the pain of osteomyelitis is caused by:

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