. A 2-year-old is diagnosed with osteomyelitis. Which of the following would you anticipate as a primary nursing intervention to include in the child's
... [Show More] plan of care?
A) Maintaining intravenous antibiotic therapy.
B) Keeping the child quiet while in skeletal traction.
C) Restricting fluid to encourage red cell production.
D) Assisting the child with crutch walking.
2. A 7-year-old is seen with pauciarticular juvenile arthritis. She notices extreme pain when she wakes in the morning. The best advice you can give her parents would be to
A) have her take 325 mg of aspirin immediately on arising.
B) encourage her to take a warm bath each morning before school.
C) have her do isotonic exercises until the pain is gone.
D) encourage her to remain in bed until the pain is gone.
3. The physician of a child with juvenile arthritis asks you to telephone the school to arrange a new activity program for her. A change you would anticipate arranging for her is to
A) be excused from all extracurricular activities.
B) begin school earlier in the day than other children.
C) be excused from all swimming classes.
D) modify her physical program.
4. A child with pauciarticular juvenile arthritis is scheduled for an eye examination every 3 months. The examination is important because
A) iridocyclitis may occur as a basic symptom of her disease.
B) the eye globe does not continue to grow with juvenile arthritis.
C) continuous drug therapy causes corneal opacity.
D) eye infection may develop easily with juvenile rheumatoid arthritis.
5. You are caring for a child with a broken wrist that has just been placed in a cast. You would elevate the arm to
A) promote healing.
B) prevent edema.
C) discourage infection.
D) ensure proper bone alignment.
6. You assist with the application of a full body plaster cast to a child. The child immediately becomes diaphoretic and complains of being hot. Which nursing intervention would be indicated?
A) Observe the child for infection.
B) Suggest removal of the cast to the orthopedist.
C) Moisten the cast with cool water.
D) Advise the child that this is to be expected.
7. A 14-year-old girl is diagnosed as having scoliosis. When doing scoliosis screening with her, an important observation would be to note
A) her posterior spine when she bends forward.
B) the angle of the iliac crest when she bends forward.
C) the posterior spine when she bends sideways.
D) the angle of her lower chest when she sits down.
8. A girl with scoliosis is prescribed a body brace. The purpose of the brace is to
A) improve spinal alignment.
B) correct spinal curvature.
C) prevent herniation of a spinal disk.
D) prevent torticollis.
9. While an adolescent wears a body brace for scoliosis, you would teach her
A) to continue with age-appropriate activities.
B) to stand absolutely still whenever she is out of the brace.
C) to wear the brace a maximum of 20 hours each day.
D) that secondary sex changes will stop until the brace is removed.
10. An adolescent girl has spinal instrumentation surgery at 16 years of age. Immediately after this procedure, you would teach her to
A) sit up immediately afterward, although this may hurt.
B) always sleep prone.
C) wait to be logrolled before turning from one side to the other.
D) plan on 6 months of hospitalization.
11. The most important assessment of neurovascular status to make after spinal surgical instrumentation would be to
A) check the nailbeds of the fingers for capillary refill.
B) determine the presence of brachial pulses.
C) assess the legs for warmth.
D) ask if the child has pain.
12. Fractures in children are always potentially serious injuries. Which child with a fracture would you observe most closely for complication?
A) One who has a greenstick radial injury.
B) One who has an ulnar fracture.
C) One who has a fractured patella.
D) One who has an elbow fracture.
13. You meet a child with a slipped femoral epiphysis. In what type of child does this usually occur?
A) Tall, thin girls.
B) Obese adolescent boys.
C) Preadolescent girls.
D) Active school-age children.
14. When helping parents plan care for a child with Legg-Calvé-Perthes disease, you would teach them that the usual therapy for children with this disorder is
A) surgery with supporting rods.
B) passive range-of-motion exercises TID.
C) a non–weight-bearing period.
D) exercise to increase muscle strength of the knee joint.
15. An infant is placed in Bryant's traction. For Bryant's traction to be effective, the infant must be positioned
A) on the back with hips flat on the bed.
B) on the stomach with both legs extended.
C) on the back with the injured hip flexed and the uninjured one extended.
D) on the back with hips up off the bed.
16. A 9-year-old with myasthenia gravis is treated with neostigmine. To ensure the child's safety, you would ensure that which of the following drugs is readily available?
A) Edrophonium (Tensilon).
B) Prednisone.
C) Atropine.
D) Allopurinol.
17. As a school nurse, which activity warrants the most careful observation for a child with myasthenia gravis?
A) Walking between classrooms.
B) Eating lunch.
C) Taking a test.
D) Walking down the front steps.
18. A child with muscular dystrophy is seen in your clinic. A common form of this can be detected in children by the presence of a positive Gowers' sign. This is
A) weakened deep tendon reflexes.
B) inability to rise from the floor without pressing the hands against ankles, knees, and thighs.
C) inability to keep the eyelids open for more than 30 seconds.
D) exaggerated spinal reflexes.
19. A neighbor of a child with muscular dystrophy is concerned that she may contract his illness. You would explain to her that
A) the mode of transmission of muscular dystrophy is unknown.
B) the virus of muscular dystrophy has an unpredictable incubation period.
C) muscular dystrophy is inherited, so it is not contagious.
D) muscular dystrophy occurs predominantly in males.
20. The mother of a child with muscular dystrophy asks you what type of diet her son will need to follow. You would advise her that
A) there is no special diet necessary for her son.
B) a high-protein, high-carbohydrate diet may be helpful.
C) extra creatinine should be added to his diet daily.
D) a moderate-calorie diet will help him remain ambulatory longer.
21. A 7-year-old with a fractured femur is in skeletal traction. Which nutrient should the nurse encourage in his diet during this time?
A) Vitamin D
B) Calcium
C) Protein
D) Carbohydrates
22. A 6-year-old child has just spent 10 days in skeletal traction for a fractured femur. When doing preoperative teaching before the cast application, a priority that the nurse should focus on with the parents and child is:
A) The child will need physical therapy for crutch training postoperatively.
B) The child will be able to have a walking cast applied after 2 weeks.
C) The child will have the cast on for at least 3 to 4 weeks.
D) The child will be able to have the cast removed after 12 weeks. [Show Less]