Chapter 29: The Child with Musculoskeletal or Articular Dysfunction - Nurselytic

Correct Answer: D

Rationale: Transporting the child by wagon outside the room provides social and environmental stimulation, aiding psychosocial health. Street clothes, not pajamas, reduce illness perception; appropriate behavioral limits are needed; and isolation from other children isn?t necessary.

Correct Answer: D

Rationale: Checking skin every 4 hours prevents breakdown from HKAFO contact points. Alcohol dries skin, parents can check screws, and burning requires brace removal and orthotist consultation, not tolerance.

Correct Answer: B

Rationale: Immobilization reduces metabolic rate, slowing systems and food intake. It causes hypercalcemia, negative nitrogen balance from muscle atrophy, and decreased stress hormone production due to reduced coping capacity.

Correct Answer: B

Rationale: Fractures in children heal faster in younger individuals due to robust periosteum and bone pliability. Growth plates are prone to fractures, children?s bones are more porous and pliable, and their periosteum is thicker with greater osteogenic potential than adults?.

Correct Answer: C

Rationale: A Salter type III fracture through the epiphyseal plate requires specific management, often surgical, to prevent growth complications like angular deformities. Hand dominance is irrelevant, healing is rapid at the growth plate, and complete immobilization isn?t always needed.