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

Correct Answer: C

Rationale: Immobilization reduces muscle contraction, causing venous stasis, which increases the risk of thrombus and embolus formation. Metabolic rate decreases, venous return diminishes, and bone demineralization leads to hypercalcemia, not increased bone calcium.

Correct Answer: A

Rationale: Bone demineralization from immobility leads to osteoporosis, increasing fracture and renal calculi risk. Blood pooling, urinary retention, and infection susceptibility are other immobilization effects but not directly caused by bone demineralization.

Correct Answer: A

Rationale: Vigorous hydration (3000-4000 ml/day for adolescents) with diuretics helps manage hypercalcemia by promoting calcium excretion. Frequent position changes address skin and respiratory issues, calcium intake is restricted, and high-protein, not just high-calorie, diets aid healing.

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.