Nokea
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.
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What would the nurse consider an abnormal finding on a musculoskeletal assessment of a 4-year-old child?
- A. Has inward-turned knees while standing.
- B. Walks on the toes.
- C. Appears to have flat feet.
- D. Swings his arms when walking.
Correct Answer: B
Rationale: Toe walking after age 3 may indicate a muscle problem, unlike other findings which are typical in young children.
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 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.
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.