Nokea
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.
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What intervention is appropriate for a nurse assessing a preadolescent child for scoliosis?
- A. Ask the child to bend forward at the waist and observe the child's back for asymmetry.
- B. Observe the gait while the child is walking forward heel to toe.
- C. Have the child flex the knees and look for uneven knee height.
- D. Look at the child's shoulders and hips while fully clothed.
Correct Answer: A
Rationale: Bending forward at the waist allows the nurse to observe back asymmetry, a key sign of scoliosis.
How does Russell traction provide adequate skin traction?
- A. Subluxates the tibia.
- B. Does not interfere with range of motion.
- C. Prevents the knee from flexing.
- D. Supplies continuous pull in two directions.
Correct Answer: D
Rationale: Russell traction uses a sling under the knee to provide continuous pull in two directions, maintaining alignment without subluxating the tibia.
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.
What will the nurse include when caring for a child in Buck's extension?
- A. Positioning the child with hips flexed 90 degrees at all times
- B. Keeping the weights in contact with the floor
- C. Checking for skin irritation from traction equipment
- D. Releasing the weights on a schedule
Correct Answer: C
Rationale: Checking for skin irritation prevents breakdown due to friction from traction equipment in Buck's extension.
What will the nurse respond causes the pain experienced with osteomyelitis?
- A. Pressure of inelastic bone'
- B. Purulent drainage in the bone marrow'
- C. The cast applied on the extremity'
- D. Circulatory congestion of the skin'
Correct Answer: B
Rationale: Purulent drainage in the bone marrow causes inflammation, vessel compression, and ischemia, leading to pain in osteomyelitis.