In caring for a child with an open fracture, the nurse should carefully assess for
osteoarthritis.
epiphyseal disruption.
infection.
periosteum thickening.
The Correct Answer is C
When caring for a child with an open fracture, the nurse should carefully assess for signs and symptoms of infection. An open fracture refers to a fracture where the bone is exposed through the skin, creating a direct pathway for microorganisms to enter and cause infection. Infection is a significant concern in open fractures and can lead to serious complications if not identified and treated promptly. Signs of infection may include increased pain, swelling, redness, warmth, purulent drainage, fever, or systemic signs of infection such as elevated white blood cell count.
Osteoarthritis in (option A) is incorrect because it, is not an immediate concern in the care of a child with an open fracture. Osteoarthritis refers to degenerative joint disease that typically develops over time and is not directly related to the acute management of an open fracture.
epiphyseal disruption in (option B) is incorrect because it, refers to an injury involving the growth plate (epiphyseal plate) that can affect bone growth and development. While it is a potential concern in fractures that involve the growth plate, it is not specific to open fractures and may not be an immediate priority in the initial assessment of an open fracture.
periosteum thickening in (option D) is incorrect because it, may occur in response to injury and fracture healing, but it is not specifically associated with open fractures and is not a primary focus in the initial assessment of an open fracture.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
When the skin surface is caked with desquamated skin and sebaceous secretions after the removal of a cast, the nurse should suggest washing the area with warm water and soap. This will help to gently cleanse the skin and remove the accumulated material without causing unnecessary trauma or irritation.
Option A, applying powder to absorb the material, may not effectively remove the caked material and could potentially lead to further clumping or discomfort.
Option B, vigorously scrubbing the leg, can be harsh on the skin and may cause skin irritation, redness, or even abrasions. It is important to be gentle and avoid excessive scrubbing, especially on the fragile and recently exposed skin.
Option C, carefully picking the material off the leg, can increase the risk of skin injury or introduce bacteria into the skin. Picking at the skin should be avoided to prevent further damage or infection.
Therefore, option D, washing the area with warm water and soap, is the most appropriate and gentle method to remove the caked material from the skin surface
Correct Answer is A
Explanation
A. The harness maintains the hips in flexion, abduction, and external rotation
The factor that the nurse should include when teaching a parent about the care of a newborn
in a Pavlik harness for hip dysplasia is that the harness maintains the hips in flexion,
abduction, and external rotation. The Pavlik harness is a commonly used device for the
treatment of developmental dysplasia of the hip (DDH) in infants. It is designed to hold the
hips in a position that promotes proper alignment and development.
The harness maintains the hips in flexion, abduction and external rotation in (Option B) is
incorrect. The Pavlik harness should not be removed with every diaper change. The harness
needs to be worn consistently as directed by the healthcare provider to ensure the
effectiveness of the treatment.
The harness is the only first step of treatment in (Option C) is incorrect. While the Pavlik
harness is an important step in the treatment of hip dysplasia, it is not the only step.
Additional treatments, such as bracing or surgical interventions, may be required depending
on the severity of the condition.
The harness in worn for 2 weeks in (Option D) is incorrect. The duration for which the Pavlik
harness is worn can vary depending on the individual case and the healthcare provider's
instructions. It is typically worn for several weeks to months, and the specific duration will be
determined by the healthcare provider based on the child's progress and response to
treatment.
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