Muskuloskeletal

A nurse is caring for a 2-day-old infant who has a myelomeningocele. Which of the following actions should the nurse take? - Monitor the infant's head circumference. - Position the infant supine. - Place the infant under radiant warmer. - Tape a piece of plastic over the protruding membranes.

- Monitor the infant's head circumference.

A nurse is providing teaching to an adolescent who has a fiberglass arm cast. Which of the following instructions should the nurse include in the teaching? - Place a plastic bag over the cast when showering. - Insert a dull knitting needle into the cast to rub itchy skin. - Exercise fingers every 8 hr for the first 24 hr. - Draw on the cast using magic markers.

- Place a plastic bag over the cast when showering.

A nurse is caring for a child who has been in Buck's traction for 2 days. Which of the following actions should the nurse take to prevent complications? - Manually move the weights to the floor when the child is experiencing pain. - Check for pulses in the affected leg every 4 hr. - Cleanse the pins every 12 hr. - Inform parents to discourage visitors for the child.

- Check for pulses in the affected leg every 4 hr.

A nurse is caring for a child who in in skeletal traction. Which of the following actions is the nurse's priority? - Perform passive range of motion for unaffected joints. - Apply a pressure-reducing overlay to the child's mattress. - Increase the child's fluid intake. - Encourage the child to use an incentive spirometer.

- Encourage the child to use an incentive spirometer.

A nurse is providing teaching to an adolescent who has scoliosis and a new prescription for a Boston brace. Which of the following responses by the adolescent indicates an understanding of the teaching? - "I can take my brace off to sleep every night at bedtime." - "I can take my brace off for about an hour daily to shower." - I should loosen the straps on my brace if it is rubbing my skin." - "I should place the pads of brace against my skin with a t-shirt over them."

- "I can take my brace off for about an hour daily to shower."

A nurse is teaching a school-age child who is to undergo a bone marrow aspiration. Which of the following statements should the nurse make? - "I will give you an antibiotic before your procedure." - "I will place you on your side during the procedure." - "You might a headache following the procedure." - "I will place a pressure dressing over the area following the procedure."

- "I will place a pressure dressing over the area following the procedure."

A nurse is teaching the parents of a child who has cerebral palsy. Which of the following statements should the nurse make? - "Your child will be unable to eat by mouth." - "Your child will be unable to participate in recreational activities." - "Your child will need a botulinum toxin A injection to help with muscle spasticity." - "Your child will need throw rugs placed over non-carpeted areas."

- "Your child will need a botulinum toxin A injection to help with muscle spasticity."

A nurse is assessing an adolescent who has sustained a broken tibia. Following the application of a fiberglass cast, the adolescent reports pain and a tingling feeling in the limb. Which of the following actions should the nurse take first? - Give the adolescent ibuprofen. - Elevate the adolescent's leg on pillows. - Place an ice pack on the cast. - Assess for manifestations of circulatory impairment.

- Assess for manifestations of circulatory impairment.