Nokea
How does the pediatric skeletal system differ from that of the adult?
- A. Lower mineral content
- B. More ossification
- C. Open epiphyses
- D. Less porosity
- E. Greater strength
Correct Answer: A,C,E
Rationale: The pediatric skeletal system has lower mineral content, open epiphyses, and greater strength, with greater porosity, not less.
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What does the nurse explain as the cause of this spinal curvature defect?
- A. Juvenile rheumatoid arthritis
- B. Poor posture
- C. Heredity
- D. Myelomeningocele
Correct Answer: B
Rationale: Functional scoliosis is typically caused by poor posture and is not a structural spinal disease.
How long does it take for the toe to regain color if adequate perfusion is assessed?
- A. 3 seconds
- B. 4 seconds
- C. 5 seconds
- D. 6 seconds
Correct Answer: A
Rationale: Capillary refill in 3 seconds or less indicates adequate perfusion in a child in Bryant's traction.
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 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.
Correct Answer: C
Rationale: Marked distortion of the femoral head in Legg-Calv?©-Perthes disease may lead to degenerative arthritis in adulthood.
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.