Peds Test 3 PrepU Quizzes

When teaching a group of parents about the skeletal development in children, what information will the nurse provide?

A young child's bones commonly bend instead of break when an injury occurs

A child is admitted to the pediatric unit with osteomyelitis. The child is to be placed on antibiotics. The nurse expects antibiotic coverage to include which of the following as the most common cause of osteomyelitis?

Staphylococcus aureus

A 14-year-old girl with a fractured leg is receiving instructions from the nurse on how to use crutches. Which intervention should the nurse implement to help prevent nerve palsy in the client?

Teach the client not to rest with the crutch pad pressing on the axilla

When assessing a child who has recently had a cast removed from the arm, the child states that the elbow is sore and hurts to move it. What is the appropriate action by the nurse?

Tell the child that this is normal and will get better as the child moves the elbow

The nurse is caring for a child diagnosed with Legg-Culve-Perthes disease (LCPD). What is the most important nursing intervention for the nurse to include in working with this child and his caregivers?

The nurse should help the caregivers to understand and help the child to effectively use the corrective devices.

The nurse is caring for a child diagnosed with Duchenne muscular dystrophy and notes the presence of a Gower sign on the assessment form. What action by the child would support this assessment?

When on the floor, rising to the knees and pressing hands against the ankles, knees, and thighs to stand

The nurse is speaking with the parents of a child who has a cast. What is the best response by the nurse?

"Blowing cool air with a fan or hair dryer may relieve the feeling"

The caregiver of a child who has had a cast applied to the leg observes the nurse putting adhesive tape strips around the edge of the cast. The caregiver asks the nurse why she is doing this. The best response by the nurse would be:

"These make a smooth edge on the cast so the skin is better protected"

The nurse has been teaching the parents of a child diagnosed with osteogenesis imperfecta about the use of bisphosphonates for this condition. What statement by a parent indicates a need for further education?

"This medication will cure my child of this disorder"

A 13-year-old adolescent is being treated for scoliosis with a brace. During the first follow-up appointment after the brace was initiated, which statement by the adolescent indicates the need for further instruction?

"When I get home from school, I look forward to taking off my brace for a few hours before I go to bed"

The nurse is caring for a 2-year-old girl in a bilateral brace with tibia vara. Her parents are upset by their toddler's limited mobility. Which response by the nurse would be most appropriate?

"You are doing a great job. Let's put our heads together on how to keep her busy"

The nurse is caring for a client who fractured the arm in an accident. A cast has been applied to the child's right arm. Which action(s) should the nurse implement? Select all that apply

- Document any signs of pain - Check capillary refill time in the both arms - Monitor the color of the nail beds in the right hand

The nurse is caring for a 14 y/o boy in Buck traction for a slipped capital femoral epiphysis (SCFE). What information would the nurse include when completing a neurovascular assessment of the affected leg? Select all that apply

- color - sensation - pulse - cap refill

The nurse is assessing a group of early adolescents for scoliosis. One of the teenagers asks the nurse what will be done. The nurse explains that which of the following will be included in the assessment? Select all that apply

- examination of the shoulder blades for symmetry - examination of the hips for symmetry - examination of the shoulders for symmetry - examination of the spine for curvature

The nurse is caring for a group of children on the pediatric unit. The nurse should collect further data and explore the possibility of child abuse (child mistreatment) in which situation?

A 7-year-old with a spiral fracture of the humerus, which the caregiver reports as having been caused when the child was hit by a bat swung by a Little League teammate

The client is a 9-month-old whose babysitter brings her to the ER. An x-ray shows a spiral fracture of the femur. The babysitter tells the nurse that she found the infant in this condition when she showed up to watch her an hour ago. How should the nurse response to this situation?

Arrange for the parents to come in for an evaluation of possible physical abuse

A 12-year-old child has been recently diagnosed with juvenile arthritis (JA). The child is eager to resume physical activity but the parent is very concerned about the child's safety and has completely limited the child's activities. Which is the best way to address the parent's concerns and encourage activity?

Ask the parent, "What are your child's favorite activities?"

The nurse is planning care for a 14-year-old client whose x-ray shows a comminuted fracture with the need for external appliance stabilization. Which nursing action is most important?

Assessing the color and movement of the hand and fingers

A child is born with clubfoot (congenital talipes equinovarus). The child later receives a cast on the affected leg to correct the problem. Which measure should the nurse mention to the mother to ensure good circulation in the affected leg?

Check the infant's toes for coldness or blueness

The nurse is observing a 3-year-old boy who is sitting and playing in the waiting area of his pediatrician's office. The nurse calls the boy and his mother back from the boy's appointment. The boy rolls onto his stomach and pushes himself to his knees. Then he presses his hands against his knees, ankles, and thighs, walking up the front of his body, to stand. Which condition should the nurse suspect in this client?

Duchenne muscular dystrophy

The nurse is caring for a child with a fractured femur in traction. Which action will the nurse complete while caring for this client?

Ensure traction weights are hanging freely, not touching the bed or floor

The child diagnosed with muscular dystrophy uses a method of rising from the floor which is referred to as which of the following?

Growers sign

The nurse is caring for a 1 y/o hospitalized child who is in Bryant traction. Which nursing intervention would be the highest priority for this child?

Monitor for excessive crying and irritability

The nurse is caring for a child who had a cast on his lower leg placed 2 hours ago. When assessing the child's foot, the nurse notes that the toes are cool and the child reports extreme pain. What is the best action by the nurse?

Notify the health care provider of the findings immediately

An 8-year-old girl is diagnosed with a closed fracture of the radius approximately 2 p.m. The fracture was reduced in the ED and her arm was placed in a cast. At 11 p.m. her mother brings her back to the ED due to unrelenting pain that has not been relieved by the prescribed opioids. Which action would be the priority?

Notifying the doctor immediately

The school nurse is presenting a class to a group of students about common overuse disorders. Which disorder would the school nurse include?

Osgood-Schlatter disease

The nurse is caring for a child in the PACU following a surgical procedure to place pins in the child's fractured femur. This pin placement is an example of which type of traction?

Skeletal

The nurse is discussing types of treatment used when working with children who have orthopedic disorders. Which forms of treatment covers the lower part of the body, usually from the waist down, and either one or both legs while leaving the feet open?

Spica cast

In understanding the development of the musculoskeletal system, the nurse recognizes that what its implanted in a gel-like substance during fetal life?

cartilage

The nurse is assessing a child and notes S-shaped curvature of the spine. What terminology would the nurse use when documenting this assessment finding?

idiopathic scolisosis

The student nurse is developing a care plan for a child who suffered a fractured tibia and will have a cast on his lower leg for approximately 6 weeks. Which nursing diagnosis would be the priority for this client?

impaired physical mobility related to a cast on the leg

The nurse is caring for a 10 y/o in traction. While performing a skin assessment, the nurse notices that the skin over the calcaneus appears slightly red and irritated. Which action would the nurse take first?

reposition the child's foot on a pressure reducing device

The school nurse is doing a presentation to a group of caregivers of children diagnosed with scoliosis. One of the caregivers asks the nurse about structural scoliosis. Which condition is involved with diagnosis of structural scoliosis?

rotated and malformed vertebrae

A nurse is assessing a child with suspected osteomyelitis. Which finding would help support this suspicion?

swelling and point tenderness

A toddler is diagnosed with osteomyelitis. When developing the child's plan of care, which intervention would the nurse include?

administration of IV antibiotic therapy

The nurse is caring for a child admitted with juvenile idiopathic arthritis (JIA). Which clinical manifestation would likely have been noted in the child with this diagnosis?

inflammation of the joints

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

joints

The charge nurse is observing a student nurse perform skeletal traction pin care. What action by the student nurse would indicate a need for intervention by the charge nurse?

unhooking a weight while providing pin care