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10 Cards in this Set

  • Front
  • Back
The nurse stops to assist a child who has been hit by a car while riding a bicycle. Someone has activated the emergency medical system. Until paramedics arrive, the nurse should consider which of the following in caring for this child who has experienced severe trauma?
a) Rapid assessment should begin with ABC status: airway, breathing, circulation
b) Assessment should begin with area injured; assessment of other areas can wait
c) The possibility of spinal cord injury should be ruled out before transporting child to the hospital
d) Temperature maintenance is more difficult than in adults, since young children have a larger surface area related to body mass
Rapid assessment should begin with ABC status: airway, breathing, circulation
Immobilization causes which of the following effects on the cardiovascular system?
a) Venous stasis
b) Increased vasopressor mechanism
c) Normal distribution of blood volume
d) Increased efficiency of orthostatic neurovascular reflexes
Venous stasis
A young child has recently been fitted with knee, ankle, and foot orthosis (brace). Care of the skin should include which of the following?
a) Apply lotion or cream to soften skin
b) Contact practitioner or orthotist if skin redness does not disappear
c) Place padding between skin and brace if child experiences burning sensation under brace
d) If small blisters develops, apply rubbing alcohol and place padding between skin and brace
Apply lotion or cream to soften skin
A child, age 10 years, sustained a fracture in the epiphyseal plate of her right fibula when she fell out of a tree. When discussing this injury with her parents, the nurse should consider which of the following?
a) This type of fracture is inconsistent with a fall
b) Bone growth can be affected by this type of fracture
c) This is an unusual fracture site in young children
d) Healing is usually delayed in this type of fracture
Bone growth can be affected by this type of fracture
Which of the following would cause a nurse to suspect that an infection has developed under a cast?
a) Cold toes
b) Increased respirations
c) Complaint of paresthesia
d) "Hot spots" felt on cast surface
Hot spots felt on cast surface
Which of the following statements is correct regarding sports injuries during adolescence?
a) Rapidly growing bones, muscles, joints, and tendons offer some protection from unusual strain
b) The increase in strength and vigor during adolescence helps prevent injuries related to fatigue
c) More injuries occur during organized athletic competition than during recreational sports participation
d) Adolescents may not possess insight and judgment to recognize when an activity is beyond their capabilities
Adolescents may not possess insight and judgment to recognize when an activity is beyond their capabilities
Which of the following results when ice is applied immediately after a soft-tissue injury, such as sprained ankle?
a) Increases the pain threshold
b) Increases metabolism in the tissues
c) Produces deep tissue vasodilation
d) Leads to release of more histamine-like substances
Produces deep tissue vasodilation
A 4 year old is newly diagnosed with Legg-Calvé disease. Nursing considerations include which of the following?
a) Encourage normal activity for as long as possible
b) Explain the cause of the disease to the child and family
c) Prepare child and family for long-term, permanent disabilities
d) Teach family the care and management of the corrective appliance
Teach family the care and management of the corrective appliance
The nurse is preparing an adolescent girl for surgery to treat scoliosis. Which of the following should the nurse include?
a) Blood administration may be an option
b) Ambulation will not be allowed for up to 3 months
c) Surgery eliminates the need for casting and bracing
d) Discomfort can be controlled with nonpharmacologic methods
Blood administration may be an option
An important nursing consideration when caring for a child with juvenile idiopathic arthritis would be which of the following?
a) Apply ice packs to relieve stiffness and pain
b) Administer acetaminophen to reduce inflammation
c) Teach child and family correct administration of medications
d) Encourage range-of-motion exercises during periods of inflammation
Teach child and family correct administration of medications