peds chapter 51: muscular dystrophy and musculoskeletal disorders

A client has recently been diagnosed with juvenile idiopathic arthritis (JIA). The nurse is providing teaching to the client and family about the disease. Which facts are accurate and should be shared with this family? Select all that apply.

-JIA can affect any number of joints -the client will need to take several medications, including NSAIDs -admin NSAIDs with food to decrease the incidence of gastric irritation

The school nurse has performed scoliosis screening. Based on this assessment, which child(ren) requires the nurse to implement a referral to the health care provider? Select all that apply.

-child with asymmetric should elevation -child with limb length discrepancy -child with lateral curve of the spine -child with one sided hump upon bending over

A young boy is being evaluated for muscular dystrophy. What physical symptoms would be assessed for in this client? Select all that apply.

-mild intellectual disability -difficulty rising from the floor -progressive muscle weakness

The nurse is preparing an education program for parents of a child diagnosed with Legg-Calvé-Perthes disease (LCPD) disorder. What information does the nurse need to include? Select all that apply.

-this disorder has four stages that last over several years -the initial stage symptoms include a limp and guarding of the hip while moving -if left untreated, the femur head will deform, which can lead to chronic pain

The nurse is caring for a child with a possible diagnosis of muscular dystrophy. The nurse explains to the parents that which of the following will likely be used to confirm this child's diagnosis?

a muscle biopsy

The nurse is doing client teaching with a child who has been placed in a brace to treat scoliosis. Which statement made by the child indicates an understanding of the treatment?

at least when I take a shower I have a few minutes out of this brace

A 12-year-old female client has been diagnosed with scoliosis with a curvature of 30 degrees. What type of treatment would the nurse anticipate being started on this client?

bracing

A 7-year-old is seen with pauciarticular juvenile idiopathic arthritis. She notices extreme pain when she wakes in the morning. The best advice the nurse can give her parents would be to:

encourage her to take a warm bath each morning before school

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

gowers sign

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 scoliosis

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

An adolescent client who has scoliosis and is wearing a Milwaukee brace tells the nurse that she is ugly and cannot wear the same clothing as her friends. Which response by the nurse best addresses this client's altered self-image?

let's look at some clothing that you can wear with the brace that will look like everyone else's clothes but cover it

The child diagnosed with muscular dystrophy often exhibits a forward curvature of the lumbar spine. What is this spinal condition called?

lordosis

The physician of a child with juvenile idiopathic arthritis asks the nurse to telephone the school to arrange a new activity program for her. A change the nurse would anticipate arranging for the child is to:

modify her physical exercise program

A child diagnosed with muscular dystrophy has recently developed kyphosis. The home health nurse stresses to the caregivers that the child is at an increased risk for which injury?

possibility of respiratory infection

A 14-year-old adolescent is suspected of having scoliosis. When doing scoliosis screening, what observation would be important for the nurse to note?

the posterior spine when bending forward

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