A Nurse is caring for a child with Slipped Capital Femoral Epiphysis (SCFE). Which interventions should be prioritized for a child with SCFE? SELECT ALL THAT APPLY.

Administration of nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management

Restriction of weight-bearing activities to prevent further damage

Prescription of crutches for mobility assistance

Application of ice packs to reduce inflammation

Immediate referral to an orthopedic specialist for evaluation

Application of a heat pack to relieve muscle tension

Answer and Explanation

Correct Answer : B,C,E

A.   NSAIDs may help with pain management, but they are not the primary treatment for SCFE.
B.   Restricting weight-bearing activities is crucial to prevent further damage and complications to the affected hip joint.
C.   Crutches may be prescribed to assist with mobility and prevent weight-bearing on the affected hip.
D.   Ice packs may reduce inflammation but are secondary to more important interventions like weight restriction and orthopedic referral.
E.   Immediate referral to an orthopedic specialist is necessary for appropriate diagnosis and management, including possible surgery.
F.   Heat packs are not recommended for SCFE because they could increase blood flow and swelling in the affected area.

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Correct Answer is C

Explanation

A. Oliguria (decreased urine output) may be a sign of dehydration or kidney dysfunction but is not typically the primary symptom of a CNS infection.
B. A negative Kernig's sign (no resistance to leg extension) is a reassuring sign and suggests that meningitis or other CNS infections are less likely. A positive sign would suggest possible meningitis.
C. Bulging of the fontanel is a sign of increased intracranial pressure, which can occur in CNS infections such as meningitis. This is a critical finding that requires immediate attention.
D. A negative Brudzinski sign means there is no neck stiffness or pain when the neck is flexed, which is a good finding. A positive sign would suggest the presence of meningitis.

A. Administering a bolus (250 ml) of Normal saline intravenous fluid B. Administering oxygen C. Administering pain medication D. Administering antipyretics

Correct Answer is C

Explanation

A. While hydration is important to help with blood flow, pain management takes precedence during an SCD crisis.
B. Oxygen may be necessary in certain cases but is not the priority in the acute pain crisis, where pain control is the primary concern.
C. Pain management is the priority in sickle cell disease (SCD) crisis, as it helps alleviate the intense pain associated with vaso-occlusive events.
D. Antipyretics are not the priority unless the child has a fever. Pain relief is more urgent during a crisis.

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A Nurse is caring for a child with Slipped Capital Femoral Epiphysis (SCFE). Which interventions should be prioritized for a child with SCFE? SELECT ALL THAT APPLY.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a five-month-old Infant. The nurse should recognize that which of the following manifestations is associated with a central nervous system (CNS) Infection?

Correct Answer is C

Explanation

The nurse provides care to a client who is admitted for a sickle cell disease (SCD) crisis. Which of the following is the priority prescription for the nurse to Implement when providing patient care?

Correct Answer is C

Explanation

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