Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Child with a Musculoskeletal Condition,100% CORRECT
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NURS MISC
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NURS MISC
Test Bank to Maternity& Pediatric Nursing 8e (by Leifer) The Child with a Musculoskeletal Condition
MULTIPLE CHOICE
1. What would the nurse include in planning teaching to parents of a child with Legg-Calv-Perthes disease about the long-term effects of this disease?
a. There are no long-term e...
test bank introduction to maternity and pediatric nursing 8e by leifer the child with a musculoskeletal condition
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INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 219
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by
Leifer) The Child with a Musculoskeletal Condition
MULTIPLE CHOICE
1. What would the nurse include in planning teaching to parents of a child with
Legg-Calv-Perthes disease about the long-term effects of this disease?
a. There are no long-term effects.
b. The disease is self-limited and requires no long-term treatment.
c. Degenerative arthritis may develop later in life.
d. There is risk of osteogenic sarcoma in adulthood.
ANS: C
Marked distortion of the head of the femur may lead to an imperfect joint or to
degenerative arthritis of the hip later in life.
DIF: Cognitive Level: Comprehension REF: Page 582
TOP: Legg-Calv-Perthes Disease KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
2. What intervention will the nurse caring for a child in Bucks skin traction
implement?
a. Position in high Fowlers position.
b. Assist the child to be pulled up in bed.
c. Keep childs heel on the bed surface.
d. Maintain childs feet against the foot of the bed.
ANS: B
Bucks traction is a type of skin traction that relies on the childs weight as
counterbalance. The child must be kept with head elevated no more than 20
degrees and pulled up in bed, and the feet should not touch the bed surface or the
foot of the bed.
NURSINGTB.
COM
DIF: Cognitive Level: Application REF: Page 574
TOP: Bucks Traction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
3. What will the nurse include when caring for a child in Bucks extension?
a. Positioning the child with hips flexed 90 degrees at all times
b. Keeping the weights in contact with the floor
c. Checking for skin irritation from traction equipment
d. Releasing the weights on a schedule
ANS: C
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 220
The skin exposed to frequent friction may break down.
DIF: Cognitive Level: Application REF: Page 577
OBJ: 6 TOP: Traction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early
Detection of Disease
4. The nurse is reviewing the characteristics of Ewings sarcoma. Which
statement if made by the nurse indicates correct understanding of this
disease?
a. Amputation is the accepted treatment.
b. The disease is sensitive to radiation and chemotherapy.
c. Metastasis is rare.
d. The disease is more prevalent among toddlers and preschoolers.
ANS: B
Ewings sarcoma is sensitive to radiation therapy and chemotherapy. Amputation
of the affected extremity is not recommended. This cancer occurs in school-age
children and does metastasize.
DIF: Cognitive Level: Comprehension REF: Page 583
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 221
TOP: Ewings Sarcoma KEY: Nursing Process
Step: Implementation MSC: NCLEX:
Psychosocial Integrity: Coping and Adaptation
5. What characteristic manifestation does the nurse caring for a child with
Duchennes muscular dystrophy document?
a. Ambulates by holding onto furniture
b. Exhibits atrophy of the calf muscles
c. Falls frequently and is clumsy
d. Has delayed fine-motor development
ANS: C
Frequent falling and clumsiness are clinical manifestations of Duchennes muscular
dystrophy.
6. The nurse assessing a child with juvenile rheumatoid arthritis notes the childs
right knee and ankle are swollen, warm, and tender. The child has a temperature
of 38.8 C (102 F) and abdominal pain. What type of juvenile rheumatoid
arthritis do these findings suggest?
a. Psoriatic
b. Enthesitis
c. Systemic
d. Acute febrile
ANS: C
The systemic form of juvenile rheumatoid arthritis is associated with an elevated
temperature, erythrocyte sedimentation rate (ESR), and C-reactive protein;
abdominal pain; and a macular rash.
DIF: Cognitive Level: Application REF: PageN5U8R3 SINGTB.COM
TOP: Juvenile Rheumatoid Arthritis KEY: Nursing Process
Step: Data Collection MSC: NCLEX: Physiological Integrity:
Physiological Adaptation
7. The nurse is providing instructions about how to treat a sprained ankle. What
statement by the mother does the nurse recognize as indicative of a need for
additional teaching?
a. Apply warm compresses to the ankle for the first 24 hours.
b. Put an ice pack on the ankle, alternating 30 minutes on with 30 minutes off.
c. Wrap the ankle in an Ace bandage for support.
d. Keep the leg elevated when sitting.
NURSINGTB.COM
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