Exam 34: The Child with Musculoskeletal or Articular Dysfunction

The nurse is teaching the parent of a 4-year-old child with a cast on the arm about care at home. What statement by the parent indicates a correct understanding of the teaching?

A 17-year-old patient is returning to the surgical unit after Luque instrumentation for scoliosis repair. In addition to the usual postoperative care, what additional intervention will be needed?

MATCHING Match the type of fracture to its definition. -Slanting and circular, twisting around the bone shaft

The nurse is teaching the parents of a 1-month-old infant with developmental dysplasia of the hip about preventing skin breakdown under the Pavlik harness. What statement by the parent would indicate a correct understanding of the teaching?

MATCHING Match the type of fracture to its definition. -Small fragments of bone are broken from the fractured shaft and lie in the surrounding tissue

What nursing intervention is most appropriate when caring for the child with osteomyelitis?

What finding is characteristic of fractures in children?

Parents bring a 7-year-old child to the clinic for evaluation of an injured wrist after a bicycle accident. The parents and child are upset, and the child will not allow an examination of the injured arm. What priority nursing intervention should occur at this time?

MATCHING Match the type of fracture to its definition. -Crosswise at right angles to the long axis of the bone

A student athlete was injured during a basketball game. The nurse observes significant swelling. The player states he thought he "heard a pop," that the pain is "pretty bad," and that the ankle feels "as if it is coming apart." Based on this description, the nurse suspects what injury?

What statement is correct regarding sports injuries during adolescence?

The nurse is teaching the girls' varsity sports teams about the "female athlete triad." What is essential information to include?

An adolescent comes to the school nurse after experiencing shin splints during a track meet. What reassurance should the nurse offer?

Parents are considering treatment options for their 5-year-old child with Legg-Calvé-Perthes disease. Both surgical and conservative therapies are appropriate. They are able to verbalize the differences between the therapies when they make what statement?

A 3-year-old child has a femoral shaft fracture. The nurse recognizes that the approximate healing time for this child is how long?

The nurse is caring for a 14-year-old child with juvenile idiopathic arthritis (JIA). What clinical manifestations should the nurse expect to observe? (Select all that apply.)

The nurse is caring for a 14-year-old child with systemic lupus erythematous (SLE). What clinical manifestations should the nurse expect to observe? (Select all that apply.)

An 8-year-old child is hit by a motor vehicle in the school parking lot. The school nurse notes that the child is responding to verbal stimulation but is not moving his extremities when requested. What is the first action the nurse should take?

A child has just returned from surgery for repair of a fractured femur. The child has a long-leg cast on. The toes on the leg with the cast are edematous, but they have color, sensitivity, and movement. What action should the nurse take?

The nurse is teaching infant care to parents with an infant who has been diagnosed with osteogenesis imperfecta (OI). What should the nurse include in the teaching session?