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10 Cards in this Set
- Front
- Back
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List normal findings in a neurovascular assessment.
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Warm extremity, brisk capillary refill, free movement, normal sensation of the afected extremity, and equal pulses.
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What is compartment syndrome?
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Damage to the nerves and vasculature of an extremity due to pressure.
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What are the signs and symptoms of compartment syndrome?
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Abnormal neurovascular assessment: cold extremity, severe pain, inability to move the extremity, and poor capillary refill.
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Why are fractures of the epiphyseal plates a special concern?
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Fractures of the epiphyseal plate (growth plate) may affect the growth of the limb.
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How is skeletal traction applied?
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Skeletal traction is maintained by pins or wires applied to the distal fragment of the fracture.
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What discharge instructions should be included concerning a child with spica cast?
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Check child's circulation. Keep cast dry. Do not place anything under cast. Prevent cast soilage during toileting or diapering. Do not turn child using an abductor bar.
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What are signs and symptoms of congenital dislocated hip in infants?
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Unequal skin folds of the buttocks, Ortalini sign, limited abduction of the affected hip, and unequal leg lengths.
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How would the nurse conduct a scoliosis screening?
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Ask the child to bend forward from the hips with arms hanging free. Examine the child for a curve in the spine, rib hump, and hip asymetry.
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What instructions should a child with scoliosis recieve about the Milwaukee brace?
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The child should be instructed to wear the brace 23 hours per day; wear a T-shirt under brace; check skin for irritation; perform back and abdominal exercises; modify clothing. The child should be encouraged to maintain normal activities as able.
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What care is indicated for a child with juvenille rhuematoid arthritis?
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Prescribed exercise to maintain mobility; splinting of affected joints; and teaching about medication management and side affects of drugs.
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