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Exam 35: Alterations in Musculoskeletal Function

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Question 1

Multiple Choice

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An adolescent has just returned from surgery after spinal fusion surgery. Which assessment finding would take priority at this time?

A) Sleeps when not bothered but arouses easily with stimuli
B) Impaired color, sensitivity, and movement to lower extremities
C) Nausea
D) Pain

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Question 2

Multiple Choice

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An infant returns to the unit following casting of the leg for talipes equinovarus. Standing orders include monitoring the neurovascular status. In addition to color, for what will the nurse monitor the infant's foot? Standard Text: Select all that apply.

A) Warmth
B) Capillary refill
C) Pedal pulse
D) Sensation
E) Movement of the toes

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Question 3

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A six-year-old boy is admitted to the hospital with a diagnosis of osteomyelitis of the left femur. The plan of care includes a two-week round of intravenous antibiotics. The father questions why the child must be hospitalized and why the child cannot receive oral antibiotics. The nurse explains:

A two-year-old child is placed in balanced Bryant's traction for a fractured right femur. Which finding by the nurse should be reported to the surgeon?

A child must wear a brace for correction of scoliosis. Which nursing diagnosis takes priority at this time?

A school health nurse is screening for scoliosis. For what assessment findings would the nurse look? Standard Text: Select all that apply.

The nurse has completed parent education related to treatment for a child with congenital clubfoot. The nurse knows that parents need further teaching when they state:

When assigned to the patient on complete bed rest for spinal fusion secondary to scoliosis, the nurse will want to intervene to prevent common complications of immobility. Nursing interventions will include: Standard Text: Select all that apply.

A nurse is assessing a child after an open reduction of a fractured femur. Which signs indicate that compartment syndrome could be occurring? Standard Text: Select all that apply.

Which of the following would take priority when teaching the family how to care for an infant with osteogenesis imperfecta?

The nurse has completed discharge teaching for the family of a child diagnosed with Legg-Calvé-Perthes disease. The nurse knows further teaching is needed about the condition if the family states:

The nurse in the newborn nursery is doing the admission assessment on a neonate. Which assessment finding would lead the nurse to suspect unilateral congenital hip dysplasia?

An 18-month-old child is admitted to the hospital unit for weakness of the lower extremities. Duchenne muscular dystrophy is suspected. Which assessment finding on the admission history and physical is indicative of this disorder?

A child has experienced a sprain of the right ankle. The school nurse should:

The nurse is teaching a family how to care for their infant in a Pavlik harness to treat congenital developmental dysplasia of the hip. Which instruction is appropriate for the nurse to include in parental education in relation to the Pavlik harness?

An infant has just returned from surgery for correction of bilateral congenital clubfeet. The infant has bilateral long-leg casts. The toes on both feet are edematous, but there is color, sensitivity, and movement to them. What should the nurse do first?

While at recess, a child falls and hurts his arm. The school nurse is called and suspects a fractured arm. The nurse will apply a splint before transporting the child to the hospital. The nurse will ensure that: