Peds ch23

A nurse is applying a cast to a 12-year-old boy with a simple fracture of the radius in the arm. Which of the following is most important for the nurse to do when she has finished applying the cast?

Assess the fingers for warmth, pain, and

The nurse is discussing fractures seen in children with a group of caregivers. One of the caregivers states, "I have heard that if a bone breaks it can cause permanent damage and stop the growth of the bone." This statement is accurate if the break occurs in which of the following?

Epiphyseal plate

A nurse is conducting a physical examination on an 11-year-old boy with Legg-Calvé-Perthes disease. Which assessment finding would be expected?

trendelenburg trait

After teaching the parents of a 6-year-old child about caring for a sprained wrist, which statement by the parents indicates the need for additional teaching?

we'll apply a warm compress

A nurse is working with a child who has Osgood-Schlatter disease. Which of the following clients would be the most likely to develop this condition?

A 13-year-old boy who is on his school's cross-country team

A 3-year-old demonstrates lateral bowing of the tibia. Which of the following signs would indicate that the boy's condition is Blount disease rather than just the more typical developmental genu varum?

A sharp, beaklike appearance to the medial aspect of the proximal tibia on x-ray

An infant appears floppy, sucks poorly, and has weak respiratory effort. She is diagnosed with congenital myasthenia gravis. In explaining this condition to the infant's mother, which of the following should she mention as the cause of the condition?

An inherited disorder involving faulty neurotransmitter transmission or reception

A nurse is treating an 8-year-old boy for supracondylar fracture of the humerus. The boy will be receiving a cast. Which intervention should the nurse implement to prevent Volkmann's ischemic contracture in this client?

Apply a cast incompletely for 24 hours, with the elbow being simply splinted

The nurse is caring for an active 11-year-old presenting with tenderness in the shoulder. He is the pitcher for his baseball team and complains of shoulder pain with active internal rotation but is able to continue past the pain with full range of motion. Based on these reported symptoms, the nurse is aware that the disorder is most likely which of the following?

Epiphysiolysis of the proximal humerus

The child diagnosed with muscular dystrophy often exhibits a forward curvature of the You are caring for a child with a broken wrist that has just been placed in a cast. You would elevate the arm tolumbar spine. This description is accurate regarding which of the following?

Lordosis

When helping parents plan care for a child with Legg-Calvé-Perthes disease, you would teach them that the usual therapy for children with this disorder is

a non-weight bearing method

You assist with the application of a full-body plaster cast to a child. The child immediately becomes diaphoretic and complains of being hot. Which nursing intervention would be indicated?

advise to the child this is to be expected

You are caring for a child with a broken wrist that has just been placed in a cast. You would elevate the arm to

prevent edema

he nurse is caring for a 6-year-old boy with Russell traction applied to his left leg. Which intervention would be most appropriate to prevent complications?

Assess the popliteal region carefully for skin breakdown.

traction with scoliosos

Halo

The nurse is caring for a 10-year-old child in traction. After performing a skin assessment, she notices that the skin over the calcaneus appears slightly red and irritated. Which of the following should be the first intervention?

Reposition the child's foot on a pressure-reducing device.

in infant webbing of fingers and toes

Syndactyly

A 9-year old child is scheduled for a computed tomography with contrast medium. Which of the following would be most important for the nurse to assess?

allergies

A nurse applies ice to a patient's leg to relieve the pain due to a soft tissue injury. Which of the following is a recommended guideline for use of cold therapy?

apply ice for the first 24-48 hours

A nurse is performing a physical examination of a child with a suspected fracture. Which assessment technique would the nurse be least likely to use?

auscultation

An infant is placed in Bryant's traction. For Bryant's traction to be effective, the infant must be positioned on the

back with hips up off the bed.

example of skeletal traction

balanced suspension

The nurse is presenting an in-service to a group of peers on the topic of traction. The nurse asks the group to give examples of types of skin traction. The following types were named by the nurses. Which of the following is an example of a type of skeletal traction?

balanced suspension traction

The nurse is caring for a 10-year-old girl in traction. The girl is experiencing muscle spasms associated with the traction. Which of the following would the nurse expect to administer if ordered?

diazapam

curb or step

false

The nurse caring for a child who has been put into a leg cast must be on the alert for signs of nerve and muscle damage. Which of the following symptoms might be an early warning signal that the child has developed compartment syndrome? The child

feels increasing severe pain

A nurse is setting up an electric heating pad for a 6-year-old boy requiring heat therapy. Which of the following would be the most appropriate way to engage the child during use of the heating pad?

here are some crayons and paper

A girl with scoliosis is prescribed a body brace. The purpose of the brace is to

improve spinal alignment

In understanding the function of the musculoskeletal system, the nurse recognizes that which of the following allows for movement of the body parts?

joints

An infant with a femur fracture is placed in Bryant traction. Which of the following would the nurse include in the infant's plan of care?

keeping the buttocks slightly elevated

rickets=

low serum calcium

In caring for a child in traction, of the following interventions, which is the highest priority for the nurse?

monitor for decreased circulation

The nurse is caring for a child admitted with Legg-Calvé-Perthes disease. Which of the following clinical manifestations would likely have been noted in the child with this diagnosis?

pain in the groin and a limp

The nurse is caring for a number of children with bone fractures who are being treated with casts, traction, or external fixation. which of the following care activities is unique to external fixation?

preventing further injury

he nurse is caring for a 1-year-old hospitalized child who is in Bryant's traction. Which of the following nursing interventions would be the highest priority for this child?

report continuous crying and irritability

waist down cast

spica

scoliosos is more common in girls than boys

true