Exam 34: The Child With Musculoskeletal or Articular Dysfunction

The nurse is teaching parents the proper use of a hip-knee-ankle-foot orthosis (HKAFO)for their 4-year-old child.The parents demonstrate basic essential knowledge by making what statement?

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

A child is upset because,when the cast is removed from her leg,the skin surface is caked with desquamated skin and sebaceous secretions.What technique should the nurse suggest to remove this material?

What finding is characteristic of fractures in children?

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?

A child with a hip spica cast is being prepared for discharge.Recognizing that caring for a child at home is complex,the nurse should include what instructions for the parents' discharge teaching?

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

What is a physiologic effect of immobilization on children?

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 7-year-old child has just had a cast applied for a fractured arm with the wrist and elbow immobilized.What information should be included in the home care instructions?

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?

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

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?

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

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

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

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?

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

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