Nokea
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.
You may also like to solve these questions
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.
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.
Which assessment performed by a nursing student performing a neurovascular check alerts the instructor that further education is necessary?
- A. Pulses
- B. Capillary refill
- C. Movement
- D. Pupils
Correct Answer: D
Rationale: Pupil assessment is part of a neurological check, not a neurovascular check, which includes pulses, capillary refill, and movement.
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.
Why does a child's fracture heal more rapidly than the adult's?
- A. A child's bones are less porous than adult bone.
- B. A child's bones are covered by a thicker periosteum.
- C. A child's bones are not affected by bone overgrowth.
- D. A child's bones have faster callus formation.
Correct Answer: D
Rationale: Faster callus formation in children accelerates fracture healing compared to adults.