Question 1

Which assessment performed by a nursing student performing a neurovascular check alerts the instructor that further education is necessary?

Accepted Answer

Neurovascular checks include assessment of pain,pulse,sensation,color,capillary refill,and movement.Pupils are assessed with a neurological check.

Question 2

Which nursing diagnosis would be a priority when preparing a plan of care for a child in a leg cast?

Accepted Answer

Casting can lead to compromised tissue perfusion caused by increased pressure from edema or swelling pressing on the tissues.Neurovascular checks are an assessment priority.

Question 3

The nurse recognizes the signs of ____________________ syndrome in a child in "90-90" traction when the toes are pale and edematous and have a very slow capillary refill.

Accepted Answer

The answer of The nurse recognizes the signs of ____________________...

Question 4

A pediatric nurse is assisting with the care of a child diagnosed with a fractured femur.What type of fracture would be the most likely to alert the nurse to the possibility of physical abuse?

Accepted Answer

A spiral fracture of the femur is caused by a forceful twisting motion.When the history of an injury does not correlate with x-ray findings,child abuse should be suspected because spiral fractures can be the result of manual twisting of the extremity.

Question 5

What factor(s) may trigger abuse in a parent?

Accepted Answer

All options except high self-esteem are possible triggers for a parent to become abusive.

Question 6

Why does a child's fracture heal more rapidly than the adult's?

Accepted Answer

Callus forms more rapidly in the child than the adult.

Question 7

The nurse reminds the adolescent boy with Ewing's sarcoma that he is prohibited from vigorous weight-bearing activities during treatment with radiation to reduce the risk of a(n)_______________ fracture.

Accepted Answer

The answer of The nurse reminds the adolescent boy with...

Question 8

A child is sent to the school nurse for assessment because she comes to school every day disheveled,unbathed,and hungry.The assessment does not indicate any bruises or marks on the body.What do these finding indicate?

Accepted Answer

Physical neglect is the failure to provide for the basic physical needs of the child,including food,clothing,shelter,and basic cleanliness.

Question 9

Approximately how old does the nurse assess a large green bruise on the thigh of a 4-year-old to be?

Accepted Answer

Bruises heal in various stages that are indicated according to color; after 5 to 7 days bruise are green.

Question 10

The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.

Accepted Answer

The answer of The nurse explains that Bryant's traction is...

Question 11

On entering the room of a child in Buck's traction,the nurse makes all of the following observations.Which observation requires a nursing intervention?

Accepted Answer

Buck's traction is dependent on the child as a counterweight.The heels should be elevated above the level of the foot of the bed.

Question 12

The nurse performing a neurovascular check on a limb in traction would report and document which finding(s)as indicative of altered circulation?

Accepted Answer

The limb should be warm,and capillary refill should be less than 3 seconds.

Question 13

How does the pediatric skeletal system differ from that of the adult?

Accepted Answer

The child's skeletal system has less mineral content,greater porosity,open epiphyses,greater bone strength,and a thicker periosteum.

Question 14

The child with Duchenne's muscular dystrophy must push on his legs and "walk up the leg" in order to rise to a standing position.The nurse recognizes this characteristic behavior as _______________ maneuver.

Accepted Answer

The answer of The child with Duchenne's muscular dystrophy must...

Question 15

The nurse demonstrates which similarities among all traction devices?

Accepted Answer

Tractions are designed to immobilize and pull limbs into extension.Traction can also align broken bones and decrease muscle spasm.Although some traction devices may relieve pain,many may actually cause pain.

Question 16

_______________________is a condition in which neck motion is limited and the cervical spine is rotated because of shortening of the sternocleidomastoid muscle.

Accepted Answer

The answer of _______________________is a condition in which neck motion...

Question 17

A nurse assessing welts on the body of a 2-year-old Vietnamese child should consider the skin lesions might be the result of the cultural practice of __________.

Accepted Answer

The answer of A nurse assessing welts on the body...

Quiz 24: The Child with a Musculoskeletal Condition