Nokea
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.
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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.
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.
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 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.
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.