Nokea
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.
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What statement by the mother does the nurse recognize as indicative of a need for additional teaching?
- A. Apply warm compresses to the ankle for the first 24 hours.'
- B. Put an ice pack on the ankle, alternating 30 minutes on with 30 minutes off.'
- C. Wrap the ankle in an Ace bandage for support.'
- D. Keep the leg elevated when sitting.'
Correct Answer: A
Rationale: Warm compresses are incorrect for sprained ankle treatment; rest, ice, compression, and elevation are the appropriate interventions.
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.
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 characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?
- A. Ambulates by holding onto furniture.
- B. Exhibits atrophy of the calf muscles.
- C. Falls frequently and is clumsy.
- D. Has delayed fine-motor development.
Correct Answer: C
Rationale: Frequent falling and clumsiness are hallmark signs of Duchenne's muscular dystrophy due to muscle weakness.
Which observation requires a nursing intervention?
- A. Child's heels are placed firmly against the foot of the bed.
- B. Head of bed is elevated 20 degrees.
- C. Weights are hanging freely.
- D. Ropes are on pulleys.
Correct Answer: A
Rationale: Heels against the bed disrupt Buck traction's counterweight mechanism, requiring intervention to elevate them.