E3- Skeletal Disorders & Immobilization Exam Questions And Answers
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Course
NCHP
Institution
NCHP
A 3-month-old infant is seen in the emergency department and an x-ray shows a femur fracture. What is the primary nursing assessment?
A. Assess pedal pulse in affected limb
B. Assess parent knowledge on infant care
C. Assess family home and financial situation
D. Assess feeding sched...
E3- Skeletal Disorders & Immobilization
Exam Questions And Answers
A 3-month-old infant is seen in the emergency department and an x-ray shows a femur fracture.
What is the primary nursing assessment?
A. Assess pedal pulse in affected limb
B. Assess parent knowledge on infant care
C. Assess family home and financial situation
D. Assess feeding schedule and weight gain of infant - ANS A. Assess pedal pulse in
affected limb. > Circulation of the injured limb is a priority assessment to detect potential serious
complications.
An 8-year-old patient comes to the emergency department with a femur fracture. The health
care provider has obtained x-rays of the fractured femur and the unaffected femur. The nurse
knows that both x-rays need to be done for the patient for which reason?
A. X-rays of both extremities allows for observation of bone growth.
B. X-rays of both extremities is part of the hospital protocol for children.
C. X-rays of both extremities allows for the comparison between the extremities.
D. X-rays of both extremities allows the health care provider to observe inflammation. - ANS
C. For comparison purposes
A nursing student is preparing to conduct a clinical conference regarding osteomyelitis. Which
event triggering the inflammatory process should be included in the discussion?
A. Pus accumulates under the periosteum.
B. Bacteria enter the bone through blood vessels.
,C. Pus moves from the metaphyseal area into a joint.
D. Pus accumulates and moves toward the medullary canal. - ANS B. Bacteria enter the
bone through blood vessels.
A school-age child is admitted with osteomyelitis. Which statement by the parent will require
further attention by the nurse and health care provider?
A. "Our child has had several cavities."
B. "Our child has been on antibiotics frequently."
C. "Our child has poor coordination and falls often."
D. "We have noticed a change in our child's energy levels." - ANS A. "Our child has had
several cavities."
Children with poor oral hygiene, as may be indicated by several cavities, are at increased risk
for systemic infections and illness, including osteomyelitis.
A school-age child is admitted with osteomyelitis. What assessments would the nurse expect to
perform if erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) levels are
elevated?
A. Vital sign assessment
B. Patient allergy history
C. Evaluation of patient dressing
D. Patient history of recent falls - ANS B. Patient allergy history
The given laboratory results, along with patient symptoms, indicate infection, which will require
IV antibiotics. Prior to antibiotic administration, the nurse should take a patient history to
evaluate allergies and any problems the child experienced during previous antibiotic
administration.
A school-aged patient has a lateral spine curvature of 25 degrees. The nurse anticipates which
intervention according to these results?
A. Education on use of a brace
, B. Immediate surgical repair
C. Education on core strengthening
D. Monitor for a year for changes - ANS A. Education on use of a brace
Nonoperative management is the preferred treatment for patients with spine curvature ≥ 25
degrees and who are still skeletally immature. The nurse would anticipate providing patient
teaching on use of a brace.
A preteen has been diagnosed with scoliosis and the nurse suspects it is an idiopathic scoliosis.
How does the nurse come to this conclusion?
A. Congenital scoliosis is present at birth and idiopathic scoliosis occurs after age 10 years.
B. Congenital scoliosis typically involves a curvature 20-45 degrees. Idiopathic scoliosis
involves a curvature > 45 degrees.
C. Congenital scoliosis is present at birth and then resolves shortly after birth. Idiopathic
scoliosis appears later in adolescence.
D. Idiopathic scoliosis can be diagnosed for the first time in older children, whereas congenital
scoliosis is present at birth. - ANS D. Idiopathic scoliosis can be diagnosed for the first time
in older children, whereas congenital scoliosis is present at birth.
Congenital scoliosis is present at birth and idiopathic scoliosis can occur at any point in a child's
growth and is classified by age at presentation
In which ways can a nurse help to relieve anxiety in an adolescent having surgery for a spine
abnormality?
Select all that apply.
A. Reassure the adolescent to allay fears.
B. Allow the adolescent to have quite time for reflection.
C. Discuss activity limitations and provide ideas for alternatives.
D. Correct any misunderstandings the adolescent has about the surgery.
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