Exam 34: The Child with Musculoskeletal or Articular Dysfunction

A child with juvenile idiopathic arthritis (JIA) is started on a nonsteroidal antiinflammatory drug (NSAID). What nursing consideration should be included?

A 4-year-old child is placed in Buck extension traction for Legg-Calvé-Perthes disease. He is crying with pain as the nurse assesses the skin of his right foot and sees that it is pale with an absence of pulse. What should the nurse do first?

The nurse is assisting with application of a synthetic cast on a child with a fractured humerus. What are the advantages of a synthetic cast over a plaster of Paris cast? (Select all that apply.)

A preadolescent has been diagnosed with scoliosis. The planned therapy is the use of a thoracolumbosacral orthotic. The preadolescent asks how long she will have to wear the brace. What is the appropriate response by the nurse?

The nurse uses the five Ps to assess ischemia in a child with a fracture. What finding is considered a late and ominous sign?

The nurse is caring for a hospitalized adolescent whose femur was fractured 18 hours ago. The adolescent suddenly develops chest pain and dyspnea. The nurse should suspect what complication?

The nurse is conducting preoperative teaching to parents and their child about an external fixation device. What should the nurse include in the teaching session? (Select all that apply.)

The nurse knows that parents need further teaching with regard to the treatment of congenital clubfoot when they state what?

What should the nurse plan for an immobilized child in cervical traction to prevent deep vein thrombosis (DVT)?

MATCHING Match the type of fracture to its definition. -Slanting but straight between a horizontal and a perpendicular direction

A 14-year-old is admitted to the emergency department with a fracture of the right humerus epiphyseal plate through the joint surface. What information does the nurse know regarding this type of fracture?

What is a major goal for the therapeutic management of juvenile idiopathic arthritis (JIA)?

Immobilization causes what effect on metabolism?

What is an important nursing consideration when caring for a child with juvenile idiopathic arthritis (JIA)?

In teaching a 16-year-old adolescent who was recently diagnosed with systemic lupus erythematosus (SLE), what statements should the nurse include? (Select all that apply.)

The nurse at a summer camp recognizes the signs of heatstroke in an adolescent girl. Her temperature is 40° C (104° F). She is slightly confused but able to drink water. Nursing care while waiting for transport to the hospital should include what intervention?

An infant is born with one lower limb deficiency. When is the optimum time for the child to be fitted with a functional prosthetic device?

What needs to be included as essential teaching for adolescents with systemic lupus erythematosus (SLE)?

The middle school nurse is speaking to parents about prevention of injuries as a goal of the physical education program. How should the goal be achieved?

What condition can result from the bone demineralization associated with immobility?