Nokea
An adolescent comes to the school nurse after experiencing shin splints during a track meet. What reassurance should the nurse offer?
- A. Shin splints are expected in runners.
- B. Ice, rest, and nonsteroidal anti-inflammatory drugs (NSAIDs) usually relieve pain.
- C. It is generally best to run around and work the pain out.
- D. Moist heat and acetaminophen are indicated for this type of injury.
Correct Answer: B
Rationale: Shin splints, caused by ligament stress on the tibial shaft, are relieved by ice, rest, and NSAIDs. They aren?t expected, running worsens the injury, and moist heat with acetaminophen is less effective than ice and NSAIDs for inflammation.
You may also like to solve these questions
What condition can result from the bone demineralization associated with immobility?
- A. Osteoporosis
- B. Pooling of blood
- C. Urinary retention
- D. Susceptibility to infection
Correct Answer: A
Rationale: Bone demineralization from immobility leads to osteoporosis, increasing fracture and renal calculi risk. Blood pooling, urinary retention, and infection susceptibility are other immobilization effects but not directly caused by bone demineralization.
A young girl has just injured her ankle at school. In addition to notifying the childs parents, what is the most appropriate, immediate action by the school nurse?
- A. Apply ice.
- B. Observe for edema and discoloration.
- C. Encourage child to assume a position of comfort.
- D. Obtain parental permission for administration of acetaminophen or aspirin.
Correct Answer: A
Rationale: Applying ice immediately reduces swelling and pain in soft tissue injuries, followed by rest, elevation, and compression. Observing edema, finding a comfortable position, and administering medication are secondary to ice application.
The nurse is teaching the girls varsity sports teams about the female athlete triad. What is essential information to include?
- A. They should take low to moderate calcium to avoid hypercalcemia.
- B. They have strong bones because of the athletic training.
- C. Pregnancy can occur in the absence of menstruation.
- D. A diet high in carbohydrates accommodates increased training.
Correct Answer: C
Rationale: Pregnancy is possible despite amenorrhea in the female athlete triad, necessitating contraceptive education. High calcium (1500 mg) prevents osteoporosis, low estrogen weakens bones, and high-protein, high-calorie diets, not just carbohydrates, support intense training.
What is the recommended drink for athletes during practice and competition?
- A. Sports drinks to replace carbohydrates
- B. Cold water for gastrointestinal tract rapid absorption
- C. Carbonated beverages to help with acid-base balance
- D. Enhanced performance carbohydrate-electrolyte drinks
Correct Answer: B
Rationale: Cold water, consumed 4-8 oz every 15-20 minutes, promotes rapid gastric and intestinal absorption for hydration. Sports drinks may cause gastrointestinal upset, carbonated beverages are discouraged, and enhanced drinks lack evidence of performance benefits.
What measure is important in managing hypercalcemia in a child who is immobilized?
- A. Provide adequate hydration.
- B. Change position frequently.
- C. Encourage a diet high in calcium.
- D. Provide a diet high in calories for healing.
Correct Answer: A
Rationale: Vigorous hydration (3000-4000 ml/day for adolescents) with diuretics helps manage hypercalcemia by promoting calcium excretion. Frequent position changes address skin and respiratory issues, calcium intake is restricted, and high-protein, not just high-calorie, diets aid healing.