Chapter 29, The Child with Musculoskeletal or Articular Dysfunction Video Solutions, Wong’s Essentials of Pediatric Nursing

Problem 1

The potential physiologic and psychological effects of prolonged immobilization on a 9-year-old child who has experienced significant trauma in a motor vehicle crash include which of the following? Select all that apply.
a. Orthostatic intolerance
b. Deep vein thrombosis (DVT)
c. Pressure ulcer formation
d. Pneumonia
e. Diarrhea
f. Kidney stones
g. Sense of euphoria and elation
h. Constipation

Alexander Burbelo

Numerade Educator

Problem 2

A 12-year-old who was in an all-terrain vehicle (ATV) accident has a long-leg fiberglass cast on his left leg for a tibia-fibula fracture. He requests pain medication at 2:00 AM for pain he rates at a $10 / 10$ on the Numeric Scale. The nurse brings the pain medication and notes that he has removed the pillows that kept his leg elevated. He complains of pain in the left foot, and she notes that there is $3+$ edema in the exposed leg and foot, and she is unable to slip a finger under the cast. The nurse's priority interventions in this situation should include:
a. Administer the pain medication and elevate the child's leg on the pillows.
b. Elevate the leg on the pillows and follow up within 2 to 3 hours to see if the edema has decreased.
c. Let the child know that he cannot have any additional pain medication until 6:00 AM.
d. Notify the surgeon of the findings immediately.

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01:36

Problem 3

Disordered eating patterns, which may be observed in the female athlete triad, may include which of the following? Select all that apply.
a. Use of diet pills and laxatives
b. Fasting
c. Binge eating
d. Restriction of certain foods
e. Inadequate caloric intake
f. Excessive vitamin consumption

Emily Himsel

Numerade Educator

02:15

Problem 4

Following the sudden death of a 14-year-old seemingly healthy basketball player, his parents ask the school administration to install an automatic external defibrillator (AED) in a central area of the athletic center. The school nurse is asked to participate in a meeting with the parents in which the administrators insist such a device is not necessary. The school nurse advocates by providing which information about AEDs and children?
a. An AED should be used only by health care persons trained in its use.
b. An AED provides too much of an energy shock dose for children younger than 12 years old.
c. An AED can be effective in the resuscitation of a child or adolescent with a shockable rhythm.
d. An AED is more commonly used in adults who have heart attacks than in children with undiagnosed heart conditions.

Vishal Gupta

Numerade Educator

Problem 4

A 2-day-old infant in the newborn nursery is diagnosed with developmental dysplasia of the hip (DDH), and treatment is started by the orthopedist. The nurse assists the parents by providing home care instructions that include:
a. Return to the orthopedist's office in 2 weeks to remove the hip spica cast.
b. The infant's bilateral foot casts should be elevated on pillows as much as possible.
c. Remove the Pavlik harness once a day for no more than 2 hours and inspect skin.
d. Remove the Pavlik harness while the infant is awake to allow "tummy time."

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