1. A child has a right femur fracture caused by a motor vehicle crash and is placed in skin
traction temporarily until surgery can be performed. During
... [Show More] assessment, the nurse notes that the
dorsalis pedispulse is absent on the right foot. Which action should the nurse take?
1. administer an analgesic
2. release the skin traction
3. apply ice to the
extremity4. notify the
HCP
2. A child is placed in skeletal traction for treatment of a fractured femur. The nurse createsa
plan of care and should include which intervention?
1. ensure that all ropes are outside the pulleys
2. ensure that the weights are resting lightly on the floor
3. restrict diversional and play activities until the child is out of traction 4.
check the HCP's prescriptions for the amount of weight to be applied
3. The nurse is providing instructions to the parents of a child with scoliosis regarding the use of a
brace.Which statement by the parents indicates a need for further instruction?
1. "I will encourage my child to perform prescribed exercises."
2. "I will have my child wear soft fabric clothing under the brace."
3. "I should apply lotion under the brace to prevent skin breakdown."
4. "I should avoid the use of powder because it will cake under the brace."
3. "I should apply lotion under the brace to prevent skin breakdown."
4. Parents bring their 2-week-old infant to a clinic for treatment after a diagnosis of clubfoot
made atbirth. Which statement by the parents indicates a need for further teaching regarding
this disorder?
1.
"Treatment needs to be started as soon as possible."
2.
"I realize my infant will require follow-up care until fully grown."
3.
"I need to bring my infant back to the clinic in 1 month for a new cast."
4.
"I need to come to the clinic every week with my infant for the casting."
Clubfoot is a complex deformity of the ankle and foot that includes forefoot adduction, midfoot
supination, hindfoot varus, and ankle equinus; the defect may be unilateral or bilateral. Treatment
for clubfoot is started as soon as possible after birth. Serial manipulation and casting are
performed at leastweekly. If sufficient correction is not achieved in 3 to 6 months, surgery usually
is indicated. Because clubfoot can recur, all children with clubfoot require long-term interval
follow-up until they reach skeletalmaturity to ensure an optimal outcome.
5The nurse prepares a list of home care instructions for the parents of a child who has a plaster
castapplied to the left forearm. Which instructions should be included on the list? SATA
A.Use the fingertips to lift the cast while it is drying
B.Keep small toys and sharp objects away from the cast
C.Use a paddle ruler or another padded object to scratch the skin under the cast if it itches
D.Place a heating pad on the lower end of the cast and over the fingers if the finders feel cool
E.Elevate the extremity on pillows for the first 24-48 hours after casting to prevent swelling
F. Contact the HCP if the child complains of numbness or tingling in the extremity
6, A nurse is caring for a 10-month-old infant who is in a cast for developmental dysplasia of the
hip (DDH). Which of the following strategies would the nurse implement to promote the infant's
growth anddevelopment?
A.Tie colorful latex balloons to the side of the crib.
B.Provide a small electronic toy.
C.Change the infant's diaper as soon as soiling
occurs.D. Allow infant to stand in the crib.
D. Allow infant to stand in the crib.
Rationale:
The infant should not be restricted from normal activities. The infant
can be held and allowed to walk in a cast or orthotic device. Allowing the child to
participate in normal developmental activitieswill promote growth and development.
7, A nurse is providing teaching to a parent of a child who has a fracture of an
epiphyseal plate. Which of the following statementsshould the nurse make?
Normal bone growth can be affected
8, A home health nurse is developing a plan of care for a child whohas hemiplegic
cerebral palsy. which of the following goals is the priority for the nurse to include in
the plan of care?
A. provide respite services for the parents
B. improve the clients communication skills
C. fosterself-care activitiesD.
modify the environment
Correct answer: D. modify the environment
9, A nurse is caring for a school-age client who possibly has Reye syndrome. Which
of the following is a risk factor for developing Reyesyndrome?
A. Recent history of infectious cystitis caused by Candida
B. Recent history of bacterial otitis media
C. Recent episode of gastroenteritis
D. Recent episode of Haemophilus influenzae meningitis
10, A nurse is caring for a client who hassuspected meningitis and adecreased level of
consciousness. Which of the following actions by the nurse is appropriate?
A. Place the client on NPO status.
B. Prepare the client for a liver biopsy.
C. Position the client dorsal recumbent.
D. Put the client in a protective environment
10, A nurse is caring for a child who has increased intracranial pressure. Which of the
following are appropriate actions by thenurse? (Select all that apply.)
A. Suction the endotracheal tube every 2 hr.
B. Maintain a quiet environment.
C. Use two pillows to elevate the head.
D. Administer a stool softener.
E. Maintain body alignment.
11, A nurse is takin.................................................................................................................CONTINUED [Show Less]