Chapter 25 The Child with a Musculoskeletal Condition - Leifer Maternity and Pediatric Nursing

Chapter 25 The Child with a Musculoskeletal Condition - Leifer Maternity and Pediatric Nursing

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. 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 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