PNR204 Week 5 Sensory Musculoskeletal (Chpt 23 & 24)

Question 1

Which assessment finding in a child with meningitis should be reported immediately?

Accepted Answer

Slight drop in blood pressure

Question 2

How does Russell traction provide adequate skin traction?

Accepted Answer

Supplies continuous pull in two directions.

Question 3

Which observation makes the nurse consider the possibility of child abuse when a mother says her young child fell

Accepted Answer

Red, green, and yellow bruises on his body.

Question 4

On entering the room of a child in Buck traction. Which observation requires a nursing intervention?

Accepted Answer

Child’s heels are placed firmly against the foot of the bed.

Question 5

What is included in the definition of pain according to the Academy of Pediatrics?

Accepted Answer

Pain is whatever the client says it is, whenever the client says it does

Question 6

What is an appropriate nursing action when a child is experiencing a generalized tonic-clonic seizure?

Accepted Answer

Move objects out of the child’s immediate area.

Question 7

What statement by the mother indicates understanding how to administer oral antibiotic for otitis media?

Accepted Answer

“I will administer prescribed doses until all the medication is used.”

Question 8

What instruction would the nurse provide to an adolescent who has been fitted with a Milwaukee brace?

Accepted Answer

Wear the brace over a T-shirt 23 hours a day.

Question 9

What assessment made by the school nurse would lead to the suspicion of strabismus?

Accepted Answer

Child covers one eye to read the chalkboard

Question 10

What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis?

Accepted Answer

Bend forward at the waist and observe the child’s back for asymmetry.

Question 11

What might the nurse explain as a common treatment for amblyopia?

Accepted Answer

Patching the good eye to force the brain to use the affected eye

Question 12

What is the best way for the nurse to communicate with a child age 10 who has a hearing impairment?

Accepted Answer

Face the child and speak clearly in short sentences.

Question 13

What is the best way for the nurse to communicate with a 10-year-old child who has a hearing impairment?

Accepted Answer

Remain face-to-face with the child, Establish eye contact, Remain at eye level with the child, Talk in short sentences

Question 14

What factors may trigger a parent to abuse their children?

Accepted Answer

Unemployment, Parents abused as children, Financial difficulties, Drug abuse

Question 15

What assessment does the school nurse recognize as the cardinal sign of a hyphema?

Accepted Answer

A dark-red spot in front of the iris

Question 16

What does the nurse explain to parents of a child with febrile seizures?

Accepted Answer

They occur when the temperature rises quickly.

Question 17

What factor(s) may trigger abuse in a parent? (Select all that apply.)

Accepted Answer

Financial issues, Substance abuse, Being abused as a child, Overwhelming responsibility

Question 18

A 6-month-old child gets inoculated with Haemophilus influenzae type B. What does this immunization protect against?

Accepted Answer

Influenza

Question 19

What finding would the nurse assessing the neurovascular status of a child in Russell traction report immediately?

Accepted Answer

Bluish coloration of skin

Question 20

What pain management would be the most appropriate for a child S/P fx. femur repair?

Accepted Answer

Opioids

Question 21

What characteristic manifestation does the nurse caring for a child with Duchenne’s muscular dystrophy document?

Accepted Answer

Falls frequently and is clumsy.

Question 22

How is pain managed the most effective way?

Accepted Answer

Administer low-dose analgesics on time around the clock

Question 23

What type of fracture would be the most likely to alert the nurse to the possibility of physical abuse?

Accepted Answer

Spiral fracture

Question 24

What type of fracture is an incomplete fracture where one side of the bone is bent and the other is broken?

Accepted Answer

Greenstick

Question 25

Which intervention would be helpful in relieving morning discomfort associated with juvenile rheumatoid arthritis?

Accepted Answer

Applying moist heat packs upon awakening

Question 26

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

Accepted Answer

30

Question 27

Child experiences episodes where he appears to be staring into space. Type of seizure?

Accepted Answer

Absence

Question 28

Which nursing assessment suggests the child has a concussion after a child fell and hit his head on the ground?

Accepted Answer

Cannot remember what happened to him

Question 29

What nursing action will significantly decrease the risk of serious complications for a child in Bryant’s traction?

Accepted Answer

Neurovascular checks are done frequently.

Question 30

The nurse is providing instructions about how to treat a sprained ankle. A statement that needs additional teaching?

Accepted Answer

“Apply warm compresses to the ankle for the first 24 hours.”

Question 31

The nurse is reviewing the characteristics of Ewing’s sarcoma. Which statement indicates understanding of this disease?

Accepted Answer

“The disease is sensitive to radiation and chemotherapy.”

Question 32

What intervention will the nurse caring for a child in Buck skin traction implement?

Accepted Answer

Assist the child to be pulled up in bed.

Question 33

The legs of a child with CP cross involuntarily, and exhibits jerky movements with his arms. Type of cerebral palsy?

Accepted Answer

Spastic

Question 34

What type of fracture is associated with child abuse?

Accepted Answer

Spiral

Question 35

What will the nurse include when caring for a child in Buck’s extension?

Accepted Answer

Checking for skin irritation from traction equipment

PNR204 Week 5 Sensory Musculoskeletal (Chpt 23 & 24)

Questions 35

PNR204 Week 5 Sensory Musculoskeletal (Chpt 23 & 24)

Questions 35