PEDS Exam 5: MSK Quiz

While assessing a school-aged child who has just had a short arm cast applied to a fractured right wrist, the nurse discovers that the fingers of the right hand are cool. What should the nurse do first?

Compare the temperature of the two hands.

A child with a fracture has had a reduction and casting. The child complains of tingling, burning, and inability to move the extremity. There is a weak pulse and the skin is pale gray. Which should the nurse expect?

Compartment Syndrome

During a newborn assessment for developmental dysplasia of the hip (DDH), the nurse elicits the Ortolani sign. How does the nurse explain this finding to the child's mother?

It is a clicking of the hip when it is manipulated.

The Gower sign can be elicited by having the patient perform which of the following?

Rise from a squatting position

What safety instruction should a nurse teach a 10-year-old child with diminished sensation in the legs because of cerebral palsy?

Test the temperature of the water before a bath.

A nurse is providing instructions to the parents of a child with scoliosis regarding the use of a brace. Which statement by the parents indicates a need for further instruction?

"I will apply lotion under the brace to prevent skin breakdown."

A 4-month-old infant is being treated for talipes equinovarus (clubfoot). The infant has a cast change every 2 to 3 weeks. When the infant is brought to the well-baby clinic for a routine visit, a nurse evaluates the foot in the cast. Which assessments should the nurse include? Select all that apply.

-Color of the toes of the foot in the cast -Movement of the toes of the foot in the cast

A 9-year-old child has a fractured tibia, and a full leg cast is applied. Which assessment findings should the nurse immediately report to the healthcare provider? Select all that apply.

-Inability to move the toes -Tingling sensation in the foot

An infant who has been found to have developmental dysplasia of the hip (DDH) is being examined in the pediatric clinic. What clinical finding does the nurse expect to identify during the physical assessment?

Limited abduction of the affected hip

After orthopedic surgery a 15-year-old adolescent reports pain and rates it a 5 on a scale of 0 to 10. A nurse administers the prescribed 5 mg of oxycodone every 3 hours as needed. Two hours after having been given this medication, the adolescent reports pain and rates it a 10 of 10. What action should the nurse take next?

Request that the primary healthcare provider evaluate the need for additional medication.