Nokea
Which illustration demonstrates abduction for a 10-year-old who had an SCI?
- A. ROM-1.png
- B. ROM-2.png
- C. ROM-3.png
- D. ROM-4.png
Correct Answer: A
Rationale: Abduction involves moving a limb away from the body's midline, as shown in the correct illustration.
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After assessing the client's cast, what action should the nurse take next?
- A. Document the finding in the medical record.
- B. Call the physician and report the finding.
- C. Check the nurse, then record the nurse.
- D. Apply an ice bag over the drainage area.
Correct Answer: B
Rationale: Bloody drainage seeping through a cast suggests potential complications like infection or tissue damage, requiring immediate physician notification for evaluation. Documentation and ice application are secondary, and the third option is unclear.
The clinic nurse assesses a client with complaints of pain and numbness in the left hand and fingers. Which question should the nurse ask the client?
- A. Do you smoke or use any type of tobacco products?'
- B. Do you have to wear gloves when you are out in the cold?'
- C. Do you do repetitive movements with your left fingers?'
- D. Do you have tremors or involuntary movements of your hand?'
Correct Answer: C
Rationale: Repetitive movements are a primary cause of carpal tunnel syndrome, causing pain and numbness. Smoking, cold sensitivity, and tremors are unrelated.
During a physical exam on the 18-month-old, the nurse observes genu varum. What should the nurse do?
- A. Document the finding as normal
- B. Report this finding to the HCP
- C. Teach the parents about rickets
- D. Prepare the parent about using braces
Correct Answer: A
Rationale: Genu varum (bowlegs) is a normal finding in children up to 2 years old and should be documented as normal.
Which statement to the nurse indicates a good understanding by the client of the use of methotrexate and cyclosporine?
- A. I am having an exacerbation of symptoms so two medications are needed.
- B. Cyclosporine is given to enhance the effect of the methotrexate.
- C. Methotrexate and cyclosporine together decrease unwanted side effects.
- D. My symptoms are severe enough to indicate the use of two strong medications.
Correct Answer: D
Rationale: Severe symptoms may necessitate combination therapy with methotrexate and cyclosporine, both potent immunosuppressants, to control rheumatoid arthritis. Cyclosporine does not enhance methotrexate, and side effects are not necessarily reduced.
Which most immediate treatment by the HCP should the nurse anticipate for a child with a dislocated kneecap?
- A. Open surgical intervention to repair the kneecap
- B. Arthroscopy to surgically repair the torn cartilage
- C. Realignment of the kneecap by sliding it back into position
- D. Application of a cast to the affected leg until the kneecap heals
Correct Answer: C
Rationale: Immediate treatment for a dislocated kneecap involves manual realignment to restore position.