meds & ped ch 51

During a visit, the parents of a school-age child diagnosed with pauciarticular juvenile idiopathic arthritis tell the nurse, "There are times when the joint pain is really severe, Is there anything that might help?" Which response by the nurse would be appropriate?

"Apply a warm moist compress or heating pad to the area for 20 minutes."

The nurse is caring for a child who has just received a cast for a brokenwrist. The parents ask, "Why do we need to keep the arm up on a pillow?" Which response by the nurse is appropriate?

"Keeping the arm raised helps to lessen the swelling."

The nurse is caring for a school-age child recovering from an open reduction for a fractured femur. Which assessment findings indicate that the child is developing an infection?

- lethargy - increased pulse rate - increased body temperature

The nurse is caring for a child diagnosed with scoliosis. What actions by thechild would indicate a need for intervention by the nurse?

-removal of the brace at bedtime -Loosening of the straps on the brace prior to bedtime.

When assisting parents in a home care plan for a child with Legg-Calvé-Perthes disease (LCPD), the nurse would teach the parents that which is anticipated?

A non-weight-bearing period initially occurs.

The nurse assists with the application of a full-body plaster cast to a child. The child immediately becomes diaphoretic and reports feeling hot. Which nursing intervention would be indicated?

Advise the child that this is to be expected.

The nurse is instructing the mother of a school-age child with a leg cast about cast care at home. What should the nurse include in this teaching?

Cover the cast with a plastic bag to bathe. - Remind the mother that nothing is to be put down the cast. - Use the cool setting on a hair dryer to ease itchy skin. - Encourage usual activities but restrict strenuous actions.

The nurse is concerned that a preschool-age child is demonstrating signs of Duchenne muscular dystrophy. What did the nurse assess in this child?

Gower sign

The nurse is caring for a school-age child newly diagnosed with juvenile idiopathic arthritis. Which diagnosis would be a priority for this client?

Knowledge deficit related to care needs

The nurse meets a child with a slipped capital femoral epiphysis. In what type of child does this usually occur?

Obese adolescent boys

The nurse is planning teaching for the parents of a child with Legg-Calvé- Perthes disease. On what should the nurse emphasize when conducting this teaching?

The child will have a non-weight-bearing period.

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

A child with pauciarticular juvenile idiopathic arthritis is scheduled for an eye examination every 6months. When stressing the importance of the visit, which instruction is most accurate?

Uveitis is possible, leading to severe blindness.

The most important assessment of neurovascular status to make after spinal surgical instrumentation is:

assess the legs for warmth.

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

back with hips up off the bed.

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 nurse is preparing an educational session for adolescents to best ensure a lifelong healthy musculoskeletal system. Which teaching will be beneficial to the most attendees?

importance of daily exercise

A preadolescent girl with scoliosis is prescribed a body brace. What should the nurse teach the child about the purpose of the brace?

improves spinal stability

A toddler is diagnosed with osteomyelitis. What should the nurse anticipate as a priority intervention when planning this child's care?

maintaining intravenous antibiotic therapy

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.

The nurse receives a report from the admission department that a child with a slipped capital femoral epiphysis is in route to the care area. The nurse would likely have received which description of the child to plan care?

obese preadolescent male

Fractures in children are always potentially serious injuries. Which child with afracture would you observe most closely for complication?

one who has an elbow fracture

The nurse is caring for a child with a broken wrist that has just been placed in a cast. The nurse would elevate the arm to:

prevent edema.

The nurse is evaluating a school-age child's ability to crutch walk so that no weight is placed on an injured leg. Which walking technique indicates that teaching has been effective?

three-point swing-through gait

An adolescent wears a body brace for scoliosis. Which client education should the nurse provide?

to continue with age-appropriate activities

An adolescent girl has spinal instrumentation surgery at 16 years of age. Immediately after this procedure, the nurse would teach her to:

wait to be log-rolled before turning from one side to the other.