Nokea
What instruction would the nurse provide to an adolescent who has been fitted with a Milwaukee brace?
- A. Wear the brace directly against the skin.
- B. Wear the brace over regular clothing.
- C. Wear the brace over a T-shirt 23 hours a day.
- D. Remove the brace before sleeping.
Correct Answer: C
Rationale: Wearing the Milwaukee brace over a T-shirt for 23 hours daily protects the skin while correcting scoliosis.
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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.
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.
The nurse demonstrates which similarities among all traction devices?
- A. Pull the limb into extension.
- B. Decrease muscle spasm.
- C. Reduce pain.
- D. Align two bone fragments.
- E. Immobilize the limb.
Correct Answer: A,B,D,E
Rationale: Traction devices pull limbs into extension, decrease muscle spasm, align bone fragments, and immobilize limbs; pain relief varies.
Which intervention would be helpful in relieving morning discomfort associated with juvenile rheumatoid arthritis?
- A. Wearing splints at night to prevent extension contractures
- B. Applying moist heat packs upon awakening
- C. Taking a warm tub bath the evening before
- D. Sleeping with two pillows under the head
Correct Answer: B
Rationale: Moist heat packs upon awakening reduce morning stiffness associated with juvenile rheumatoid arthritis.
What intervention will the nurse caring for a child in Buck skin traction implement?
- A. Position in high Fowler's position.
- B. Assist the child to be pulled up in bed.
- C. Keep child's heel on the bed surface.
- D. Maintain child's feet against the foot of the bed.
Correct Answer: B
Rationale: Assisting the child to be pulled up in bed maintains proper alignment in Buck traction, using the child's weight as counterbalance.