Saunders Musculoskeletal
A child is placed in skeletal traction for tx of a fractured femur. Te nurse creates a plan of care and should include which intervention
Check the HCP's rx for the amount of weight to be applied
The parents of a child with juvenile idiopathic arthritis call the clinic b/c the child is experiencing a painful exacerbation of the disease. The parents ask the nurse if the child can perform ROM exercises at this time. The nurse should make which response
Have the child perform simple isometric exercise during this time
A 4 year old child sustains a fall at home. After an x-ray examination, the child is determined to have a fractured arm and aplast cast is applied. The nurse provides instructions to the parents regarding care for the child's cast. Which statement by the parents indicates a new dfo further instruction
I can use lotion or powder around the cast edges to relieve itching
Parents bring their 2 week old infant to the clinic for tx fater a dx of clubfoot made at birth. Which statement by the parents indicates a need for further teaching regarding this disorder
I need to bring my infant back to the clinic in 1 month for a new cast
A neighborhood nurse is attending a soccer game at a local middle school. One of the students falls off the bleachers and sustains an injury to the left arm. The nurse quickly attends to the child and suspects that the child's arm may be broken. Which nursing action would be the priority before transferring the child to the ER
Immobilize the arm
A 1 month old infant is seen in a clinic and is diagnosed with developmental dysplasia of the hip. On assessment, the nurse understands that which finding should be noted in this condition
Limited ROM in the affected hip
The nurse is assisting a HCP examine a 3 week old infant with developmental dysplasia of the hip. What test or sign should the nurse expect the HCP to assess
Ortolani's maneuver
A child with cerebral palsy is in a mgmt program to achieve max potential for locomotion, self-care and socialization in school. The nurse works with the child to meet these goals by performing which action
Placing the child on a wheeled scooter board
The clinic nurse is assessing a child suspected of having Juvenile RA. which assessment findings should the nurse expect to note in a child who has been diagnosed with JRA SATA a) Hematuria b) Morning stiffness c) Painful, stiff and swollen joint d) Limited ROM of the joints e) Stiffness that develops later in the day f) Hx of late afternoon temp
b, c, d, f
An alert child who is crying loudly is brought to the ED for a simple fx of the lower right arm that occured after a fall off a bicycle. What is the nurse's priority assessment
neurovascular
The child has undergone spinal fusion for scoliosis ℅ abdominal discomfort and begins to have episodes of vomiting. On further assessment, the nurse notes abdominal distention. On the basis of these findings, the nurse should take which acting
notify the HCP