Deck 51: Nursing Care of a Family When a Child Has a Musculoskeletal Disorder

Question 1

A toddler is diagnosed with osteomyelitis. What should the nurse anticipate as a priority intervention when planning this child's care?

A) Assisting the child with crutch walking
B) Maintaining intravenous antibiotic therapy
C) Keeping the child quiet while in skeletal traction
D) Restricting fluid to encourage red cell production

Answer 1

Maintaining intravenous antibiotic therapy

Question 2

A school-age child with pauciarticular juvenile arthritis has extreme pain upon waking in the morning. Which intervention should the nurse suggest the parents try to help the child with the pain?

A) Encourage bed rest until the pain is gone.
B) Perform isotonic exercises until the pain is gone.
C) Provide 325 mg of aspirin immediately on arising.
D) Encourage a warm bath each morning before school.

Answer 2

Encourage a warm bath each morning before school.

Question 3

The nurse is preparing an educational session for community members that focuses on the 2020 National Health Goals. Which information should the nurse include to ensure a healthy musculoskeletal system?

A) Importance of daily exercise
B) Early diagnosis of painful joints
C) Need for at least 8 hours of sleep
D) Ensure an adequate intake of calcium

Answer 3

Importance of daily exercise

Question 4

The nurse is evaluating a school-age child's ability to crutch walk so that no weight is placed on an injured leg. Which walking technique indicates that teaching has been effective?

A) Walking gait
B) Two-point gait
C) Single-crutch support gait
D) Three-point swing-through gait

Question 5

The nurse is caring for a child who has just received a cast for a broken wrist. Why should the nurse elevate the limb onto a pillow?

A) To prevent edema
B) To promote healing
C) To discourage infection
D) To ensure proper bone alignment

Question 6

The nurse is concerned that a preschool-age child is demonstrating signs of Duchenne muscular dystrophy. What did the nurse assess in this child?

A) Gower sign
B) Facial weakness
C) Inability to whistle
D) Inadequate use of respiratory muscles

Question 7

The nurse is instructing the mother of a school-age child with a leg cast about cast care at home. What should the nurse include in this teaching? (Select all that apply.)

A) Cover the cast with a plastic bag to bathe.
B) Remind that nothing is to be put down the cast.
C) Recommend using magic markers for autographs.
D) Use the cool setting on a hair dryer to ease itchy skin.
E) Encourage usual activities but restrict strenuous actions.

Question 8

A preadolescent girl with scoliosis is prescribed a body brace. What should the nurse teach the child about the purpose of the brace?

A) Prevents torticollis
B) Improves spinal stability
C) Corrects spinal curvature
D) Prevents herniation of a spinal disk

Question 9

The nurse is caring for a school-age child newly diagnosed with juvenile arthritis. Which diagnosis would be a priority for this patient?

A) Knowledge deficit related to care needs
B) Risk for inefficient peripheral tissue perfusion
C) Ineffective coping related to physical limitations
D) Imbalanced nutrition: less than body requirements

Question 10

A school-age child is scheduled for a muscle biopsy. What should the nurse teach the patient about the procedure?

A) Medication will be given so pain is minimized.
B) The amount of muscle tissue taken is about 2 in.
C) Bed rest for several days will need to be done afterward.
D) Long-term pain medication will be needed after the procedure.

Question 11

A school-age child with a supracondylar fracture of the humerus has been placed in a partial cast with the elbow region wrapped with an elastic bandage. What should the nurse explain to the parents and child regarding the reason for this type of casting approach?

A) Encourages healing
B) Ensures edema does not press on the nerves
C) Keeps the bones of the forearm in alignment
D) Provides additional stability until the bone heals

Question 12

The nurse receives report from the admission department that a child with a slipped femoral epiphysis is en route to the care area. For which type of child should the nurse begin to plan care?

A) Tall, thin female
B) Preadolescent female
C) Active school-age male
D) Obese preadolescent male

Question 13

The nurse is planning teaching for the parents of a child with Legg-Calvé-Perthes disease. On what should the nurse emphasize when conducting this teaching?

A) Surgery is needed with supporting rods.
B) The child will have a non-weight-bearing period.
C) The child will need passive range-of-motion exercises three times a day.
D) The child will need to exercise to increase muscle strength of the knee joint.

Question 14

The nurse is caring for a school-age child recovering from an open reduction for a fractured femur. Which assessment findings indicate that the child is developing an infection? (Select all that apply.)

A) Lethargy
B) Increased pulse rate
C) Reduced pulse in the ankle
D) Cyanosis of the casted foot
E) Increased body temperature