ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 29 : The Child with Musculoskeletal or Articular Dysfunction Questions
Question 1 of 5
A child is upset because, when the cast is removed from her leg, the skin surface is caked with desquamated skin and sebaceous secretions. What technique should the nurse suggest to remove this material?
Correct Answer: A
Rationale: Soaking in a bathtub gently removes desquamated skin and secretions over days, avoiding skin damage. Scrubbing or picking risks excoriation, and powder is ineffective; oil or lotion may help comfort, not removal.
Question 2 of 5
A child with a hip spica cast is being prepared for discharge. Recognizing that caring for a child at home is complex, the nurse should include what instructions for the parents discharge teaching?
Correct Answer: B
Rationale: Specially designed car restraints ensure safe transport for a child in a hip spica cast. Turning should occur more frequently, diapers are needed to maintain cleanliness, and the abduction bar is not used for turning to avoid cast damage.
Question 3 of 5
What is an appropriate nursing intervention when caring for a child in traction?
Correct Answer: B
Rationale: Assessing uninvolved joints for tightness, weakness, or contractures prevents complications from traction stress. Adhesive straps are rarely removed, exercises are for unaffected limbs, and prone positioning isn?t required; alignment is maintained with movement checks.
Question 4 of 5
The nurse is caring for a hospitalized adolescent whose femur was fractured 18 hours ago. The adolescent suddenly develops chest pain and dyspnea. The nurse should suspect what complication?
Correct Answer: C
Rationale: Pulmonary embolism, often from fat emboli in long bone fractures, is likely within 12-24 hours post-injury, presenting with chest pain and dyspnea. Sepsis and osteomyelitis involve fever, and respiratory infections typically cause nasal congestion, not acute chest pain.
Question 5 of 5
What statement is correct regarding sports injuries during adolescence?
Correct Answer: D
Rationale: Adolescents? lack of insight and judgment can lead to injuries when activities exceed their physical capabilities. Conditioning reduces injuries, fatigue-related injuries occur from overuse, and recreational sports cause more injuries than organized competition.