Chapter 24 The Child with a Musculoskeletal Condition

Chapter 24  The Child with a Musculoskeletal Condition

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. What would the nurse include in planning teaching to parents of a child with Legg-Calvé-Perthes disease about the long-term effects of this disease?
a.
There are no long-term effects.
b.
The disease is self-limited and requires no long-term treatment.
c.
Degenerative arthritis may develop later in life.
d.
There is risk of osteogenic sarcoma in adulthood.

ANS: C
Marked distortion of the head of the femur may lead to an imperfect joint or to degenerative arthritis of the hip later in life.

DIF: Cognitive Level: Comprehension REF: Page 568 OBJ: 11
TOP: Legg-Calvé-Perthes Disease KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

2. What intervention will the nurse caring for a child in Buck’s skin traction implement?
a.
Position in high Fowler’s position.
b.
Assist the child to be pulled up in bed.
c.
Keep child’s heel on the bed surface.
d.
Maintain child’s feet against the foot of the bed.

ANS: B
Buck’s traction is a type of skin traction that relies on the child’s weight as counterbalance. The child must be kept with head elevated no more than 20 degrees and pulled up in bed, and the feet should not touch the bed surface or the foot of the bed.

DIF: Cognitive Level: Application REF: Page 560 OBJ: 6
TOP: Buck’s Traction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

3. What will the nurse include when caring for a child in Buck’s extension?
a.
Positioning the child with hips flexed 90 degrees at all times
b.
Keeping the weights in contact with the floor
c.
Checking for skin irritation from traction equipment
d.
Releasing the weights on a schedule

ANS: C
The skin exposed to frequent friction may break down.

DIF: Cognitive Level: Application REF: Page 563, Nursing Tip
OBJ: 6 TOP: Traction KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

4. The nurse is reviewing the characteristics of Ewing’s sarcoma. Which statement if made by the nurse indicates correct understanding of this disease?
a.
“Amputation is the accepted treatment.”
b.
“The disease is sensitive to radiation and chemotherapy.”
c.
“Metastasis is rare.”
d.
“The disease is more prevalent among toddlers and preschoolers.”

ANS: B
Ewing’s sarcoma is sensitive to radiation therapy and chemotherapy. Amputation of the affected extremity is not recommended. This cancer occurs in school-age children and does metastasize.

DIF: Cognitive Level: Comprehension REF: Page 569 OBJ: N/A
TOP: Ewing’s Sarcoma KEY: Nursing Process Step: Implementation
MSC: NCLEX: Psychosocial Integrity: Coping and Adaptation

5. What characteristic manifestation does the nurse caring for a child with Duchenne’s muscular dystrophy document?
a.
Ambulates by holding onto furniture
b.
Exhibits atrophy of the calf muscles
c.
Falls frequently and is clumsy
d.
Has delayed fine-motor development

ANS: C
Frequent falling and clumsiness are clinical manifestations of Duchenne’s muscular dystrophy.

DIF: Cognitive Level: Knowledge REF: Page 567 OBJ: 10
TOP: Duchenne’s Muscular Dystrophy KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation