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PEDS MUSCULOSKELETAL SHERPATH QUESTIONS WITH COMPLETE SOLUTIONS
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PEDS MUSCULOSKELETAL SHERPATH QUESTIONS WITH COMPLETE SOLUTIONS
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PEDS MUSCULOSKELETAL SHERPATH QUESTIONSWITH COMPLETE SOLUTIONS
A 13-year-old patient is admitted with a fractured femur. For
which signs and symptoms should the nurse evaluate the patient
to identify potential systemic complications?
Select all that apply.
Arrhythmia
Immobility
Color changes
Axillary petechiae
Shallow rapid breathing Correct Answers Color changes
Color changes can be a symptom of a blocked vessel (emboli) or
shock and should be further investigated.
Axillary petechiae
Axillary petechiae can be an indication of fat emboli, a systemic
complication of a fracture (particularly a femur fracture). When
a bone is fractured, fat tissue from the bone marrow can leak
into the blood. Long bones (like the femur) especially have more
marrow than shorter bones, increasing the risk of fat emboli.
Shallow rapid breathing
,A fractured femur will result in a large amount of bleeding that
can lead to hypovolemic shock, which may be indicated by
shallow, rapid breathing.
A 14-year-old female patient with a newly diagnosed chronic
illness presents to the nurse with feelings of worthlessness and
showing signs of decreased self-esteem. What action by the
nurse should help to strengthen this adolescent's feeling of
autonomy as the patient learns to cope with a chronic illness?
Select all that apply.
Ensure that the teen is involved in care decisions and meetings
with the health care team
Give the adolescent opportunities to discuss needs and fears
related to coping with the illness
Encourage the patient to do as many of the usual activities with
friends as the teen's condition allows
Allow the adolescent to ask questions and give honest answers
regarding the illness to increase understanding of the condition
Stress that adherence is important and that making decisions is a
privilege that can be lost if the treatment regimen is not followed
Correct Answers Ensure that the teen is involved in care
decisions and meetings with the health care team
Being involved in care decisions and care planning can increase
the patient's sense of control and self-esteem.
,Give the adolescent opportunities to discuss needs and fears
related to coping with the illness
Some adolescents, especially younger teens, might have feelings
of guilt related to the illness. Expression of these feelings can
decrease sadness and help the teen gain back some control in
life.
Encourage the patient to do as many of the usual activities with
friends as the teen's condition allows
Assisting the teen to maintain contact with peer group and
maintain usual activities can increase coping and age-
appropriate development.
Allow the adolescent to ask questions and give honest answers
regarding the illness to increase understanding of the condition
The adolescent should be an integral decision maker, which
cannot be possible without an adequate understanding of the
illness.
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?
Assess pedal pulse in affected limb
Assess parent knowledge on infant care
Assess family home and financial situation
Assess feeding schedule and weight gain of infant Correct
Answers Assess pedal pulse in affected limb
, Circulation of the injured limb is a priority assessment to detect
potential serious complications.
A 5-year-old child is having trouble coping in the hospital and
behaviors have become increasingly problematic to the nurse
and staff. What actions by the nurse should help to alleviate this
problem?
Select all that apply.
Encourage the child to express feelings through drawings
Give the child different ways to communicate needs such as a
picture board
Allow the child to help with some aspects of personal care and
with keeping the room tidy
Remind parents the child's behavior is a normal part of dealing
with an illness in a school-aged child
Keep the child in the hospital room as a time-out until the child
is able to stop having disruptive behaviors Correct Answers
Encourage the child to express feelings through drawings
Drawing provides a different outlet for frustration that can
decrease problematic behaviors, and therefore this should be
encouraged by the nurse.
Give the child different ways to communicate needs such as a
picture board
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