ATI RN
ATI Custom Pediatrics Comprehensive Exam Questions
Extract:
Child with a fracture of the femur near the epiphyseal plate
Question 1 of 5
A school-aged child with a fracture of the femur near the epiphyseal plate is admitted to the hospital. The parents ask if there will be any after effects when the bone heals. Which physiological characteristic of the femur should the nurse consider when preparing to respond?
Correct Answer: A
Rationale: The correct answer is A: Growth of that leg may be affected. The epiphyseal plate is located at the end of long bones, including the femur, and is responsible for longitudinal bone growth. If the fracture near the epiphyseal plate affects the growth plate, it can lead to growth disturbances and limb length inequality. This is crucial in children as their bones are still growing.
Therefore, the nurse should consider this physiological characteristic when responding to the parents' query.
Summary of other choices:
B: Risk for infection at this location is increased - This is not directly related to the physiological characteristic of the femur near the epiphyseal plate.
C: Long bones contain marrow, which increases the risk for anemia - While long bones do contain marrow, the risk for anemia is not a direct consequence of a fracture near the epiphyseal plate.
D: Fracture repair will necessitate prolonged traction - This choice pertains to the treatment plan for the
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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