A nurse is evaluating a child during a well exam. The nurse discovers that one leg is shorter than the other. Which is most likely the cause of the difference in leg length?

Fracture of the epiphyseal plate.

Scoliosis.

Comminuted clavicle fracture.

Juvenile idiopathic arthritis.

Answer and Explanation

The Correct Answer is A

A.   A fracture involving the epiphyseal plate (growth plate) can lead to differential growth in the affected limb. If a fracture occurs before the growth plate has closed, it can potentially result in the shorter leg as the growth in that limb may be inhibited compared to the unaffected leg.
B.   While scoliosis can lead to asymmetrical body positioning and potentially cause a perception of leg length discrepancy, it does not typically cause a true difference in bone length. Instead, scoliosis affects the spine's curvature and may alter posture, but it’s not a direct cause of one leg being shorter than the
other.
C.   A comminuted clavicle fracture primarily affects the shoulder and does not impact leg length. It involves the upper limb and does not contribute to any differences in the lengths of the legs, making this option irrelevant to the observed leg length discrepancy.
D.   JIA can lead to joint inflammation and may affect limb growth if it causes significant damage to the joints. However, while it can potentially cause some discrepancies in limb length due to joint issues, it is less directly associated with one leg being shorter than the other compared to an epiphyseal plate fracture.

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Correct Answer is C

Explanation

A. Frequent handwashing is critical in preventing the spread of infections, especially when one person in the household is ill with gastroenteritis. This practice indicates good hygiene and care for the client.
B. Drinking an electrolyte solution can help the spouse stay hydrated, especially when experiencing frequent loose stools due to gastroenteritis. Staying hydrated is essential for recovery.
C. If the spouse is actively preparing food for the client while having gastroenteritis, there is a risk of contaminating the food, which could lead to the client becoming ill. The client may be more vulnerable to infections, particularly following a stroke, and it is crucial to prevent exposure to any pathogens.
D. This observation is a good practice as it helps prevent the spread of germs. Using separate personal items, like a toothbrush and toothpaste, can minimize the risk of transmitting infections.

A. "Begin to taper the antibiotics after 3 days of administration" B. "Administer the antibiotics if the child has a fever" C. "Administer the antibiotics until they are gone." D. "Administer the antibiotics until the child feels better"

Correct Answer is C

Explanation

A. Antibiotics should not be tapered unless specifically directed by a healthcare provider. It is essential to complete the full course of antibiotics as prescribed, even if the child begins to feel better, to ensure the infection is fully treated.
B. Antibiotics should be administered as prescribed regardless of whether the child has a fever. Fever can be a sign of infection, but it is not the sole criterion for administering antibiotics.
C. Parents should complete the entire course of antibiotics as prescribed, even if the child appears to be improving. This helps to prevent the development of antibiotic-resistant bacteria and ensures that the infection is fully treated.
D. While it is common for parents to want to stop medications when their child feels better, it is crucial to complete the full course of antibiotics. Stopping early can lead to a recurrence of the infection and contribute to antibiotic resistance.

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A nurse is evaluating a child during a well exam. The nurse discovers that one leg is shorter than the other. Which is most likely the cause of the difference in leg length?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse makes a home care visit to a client with a diagnosis of right sided stroke. The client's spouse reports that she was recently diagnosed with gastroenteritis and is having frequent loose stools. The nurse is most concerned with which observation?

Correct Answer is C

Explanation

A child with otitis media had a myringotomy with insertion of tubes. The nurse provides discharge instructions to the parents regarding the administration of antibiotics. Which statement indicates understanding of the instructions?

Correct Answer is C

Explanation

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