Chapter 33 questions for homework

Which causative agent would be responsible for causing osteomyelitis in an infant?

Escherichia coli

The parents ask the nurse why their child is in skeletal traction. The nurse knows that the parents understand the primary reason for skeletal traction when they give which response?

"To align the ends of the fractured bone"

The nurse is providing care to an infant diagnosed with congenital clubfoot. Which parental statement regarding the child's care indicates correct understanding of the information provided?

"We will need to undergo a series of casting procedures to stretch and move the deformity into alignment."

Which interventions should the nurse include in the plan of care for an adolescent patient who is on complete bedrest after spinal fusion surgery secondary to scoliosis to prevent complications associated with immobility? (Select all that apply.)

-Encouraging use of the spirometer every 2 hours while the patient is awake -Logrolling the patient every 2 hours while awake -Increasing fruit and grains in the diet

Which clinical data noted by the nurse during the shift assessment indicate that the pediatric client may be experiencing compartment syndrome? (Select all that apply.)

-Pain not relieved by pain medication -Paresthesia of the leg -Prolonged capillary refill time

Which clinical manifestations should the nurse monitor for when conducting a scoliosis screening for a school-aged child? (Select all that apply.)

-Prominent scapula -Uneven shoulders and hips -A one-sided rib hump

The nurse performs a neuromuscular assessment of a child who is in Russell's traction. Which assessment findings indicate the need for further intervention? (Select all that apply.)

-The child has a capillary refill time of more than 3 seconds. -The child's toes are cold and appear dusky. -The child experiences a pain rating of 6 on an age-appropriate numeric pain rating scale.

The nurse is conducting an educational program on the importance of nutrition and bone health. What is the recommended daily requirement of iron for an adolescent?

12 mg

For which patient would the nurse consider the diagnosis of juvenile idiopathic arthritis (JIA)?

6-year-old with inflammation in more than one joint that lasts for at least 6 weeks

Which statement reflects an appropriate understanding of the anatomy and physiology of the musculoskeletal system?

The musculoskeletal system develops in utero and is structurally intact at birth.

The nurse is providing care to a child with a fractured femur who has been in skeletal traction for 2 days. Which assessment finding indicates to the nurse that the patient has peripheral neurovascular impairment?

Absent pulses

Which action by the nurse is appropriate for a child who presents in the emergency department with an ankle injury?

Applying ice to the extremity

The nurse is caring for a child with a complicated rib fracture. The nurse understands that this type of fracture can result in which of these conditions?

Lung tissue damage

Which type of childhood injury is best described as an impact injury that causes hemorrhaging in the soft tissue?

Contusion

Which imaging test should the nurse anticipate for a patient whose provider wants to visualize hard and soft tissue along with bone marrow without the use of radiation?

Magnetic resonance imaging

The nurse is assisting in the assessment process for a school-aged patient who reports hip pain all week. When assessing the right hip, the nurse finds that the hip does not fully rotate internally, abduction is limited, and the child is limping while ambulating. Based on these data, which condition might the nurse suspect?

Slipped capital femoral epiphysis

Which nursing action is appropriate when providing care for a child who is in a spica cast to decrease the risk for cast syndrome?

Encouraging increased fluids and dietary fiber

The skeletal system grows and develops across childhood. Where does the growth of long bones take place?

Epiphyseal plates

A patient has been taking naproxen for 6 months for the treatment of juvenile idiopathic arthritis. The nurse assesses the patient for which sign?

Gastrointestinal bleed

Which nursing action is appropriate when providing care to a 7-year-old child with a right femur fracture who is placed in Bryant traction while recovering?

Perform frequent repositioning.

Which datum does the licensed practical nurse (LPN) report to the charge nurse for an infant suspected of having unilateral developmental dysplasia/dislocation of the hip (DDH)?

Shortened leg on the affected side

The nurse is providing volunteer staff with information on developmental stimulation for immobilized children. Which pediatric patient would benefit from tossing a large ball and playing with large trucks?

Toddlers

Which topic is the priority for the nurse who is teaching the family of an infant diagnosed with osteogenesis imperfecta?

Trunk and extremity support during everyday care

A child is being worked up for osteomyelitis. Which laboratory tests would be needed to confirm this diagnosis?

WBC and blood cultures

The nurse is performing an assessment of a newborn diagnosed with developmental dysplasia/dislocation of the hip (DDH). Which assessment finding supports this diagnosis?

symmetrical skinfolds in the gluteus