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Approximately how old does the nurse assess a large green bruise on the thigh of a 4-year-old to be?
- A. 2 days
- B. 4 days
- C. 6 days
- D. 8 days
Correct Answer: C
Rationale: A green bruise typically appears 5 to 7 days after injury, indicating it is about 6 days old.
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How long will the nurse indicate that antibiotic therapy will probably last?
- A. 2 weeks
- B. 6 weeks
- C. 2 months
- D. 3 months
Correct Answer: B
Rationale: Antibiotic therapy for osteomyelitis typically lasts 4 to 6 weeks to effectively treat the bone infection.
Which observation is most likely to cause the nurse to consider the possibility of child abuse when a mother says that her young child fell down the basement stairs?
- A. Red, green, and yellow bruises on his body.
- B. Bruises are dispersed on his head, arms, and legs.
- C. A broken arm last year, and the child being described as accident-prone.
- D. The mother is very anxious for her son to get medical attention.
Correct Answer: A
Rationale: Multiple bruise colors indicate injuries at different healing stages, suggesting possible abuse rather than a single incident.
What finding would the nurse assessing the neurovascular status of a child in Russell traction report immediately?
- A. Skin that's warm to the touch
- B. Capillary refill less than 3 seconds
- C. Ability to wiggle toes
- D. Bluish coloration of skin
Correct Answer: D
Rationale: Bluish skin (cyanosis) indicates circulatory impairment, requiring immediate reporting to prevent complications.
The nurse performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation?
- A. Pulse is equal to uncasted limb.
- B. Patient is aware of touch and warm and cold application.
- C. Limb is cool to the touch.
- D. Capillary refill is 5 seconds.
- E. Distal limb can flex and extend.
Correct Answer: C,D
Rationale: Cool limbs and capillary refill over 3 seconds indicate altered circulation, requiring immediate reporting.
What type of juvenile rheumatoid arthritis do these findings suggest?
- A. Psoriatic
- B. Enthesitis
- C. Systemic
- D. Acute febrile
Correct Answer: C
Rationale: Systemic juvenile rheumatoid arthritis presents with fever, joint swelling, warmth, tenderness, abdominal pain, and elevated inflammatory markers.