What is the likely result of a child fracturing a bone through a portion of the epiphyseal plate?

Puts the child at risk for developing Rheumatoid Arthritis

Causes permanent nerve damage

May disrupt the growth of the affected bone

Prevents any further growth of that bone

Answer and Explanation

The Correct Answer is C

Choice A reason: Fracturing a bone through the epiphyseal plate does not put a child at risk for developing Rheumatoid Arthritis, which is an autoimmune condition unrelated to such injuries.

Choice B reason: Permanent nerve damage is not a typical consequence of fracturing the epiphyseal plate, as this injury primarily affects bone growth.

Choice C reason: The epiphyseal plate, or growth plate, is responsible for the longitudinal growth of bones in children and adolescents. Damage to this area can disrupt normal bone growth.

Choice D reason: While severe damage to the epiphyseal plate can potentially halt growth in that bone, it is more common for the growth to be disrupted rather than completely prevented. The extent of the impact depends on the severity of the injury.

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Correct Answer is B

Explanation

Choice A reason: Severe fatigue is a symptom that can be associated with many conditions and is not specific to Wilms tumor.
Choice B reason: This is the correct choice. A palpable abdominal mass is often the first sign of a Wilms tumor that prompts medical evaluation.
Choice C reason: Seizures are not typically associated with Wilms tumor.
Choice D reason: Hematuria can occur with Wilms tumor, but it is not as common as the presentation of an abdominal mass.

A. Keep alarm levels low. B. Keep the lights dimmed at night. C. Encourage the same nurses to take care of the patient on consecutive days. D. Facilitate visits from school friends.

Correct Answer is C

Explanation

Choice A reason: Keeping alarm levels low is important to reduce stress and promote a healing environment, but it is not the most impactful intervention for personalized care.

Choice B reason: Dimming the lights at night helps maintain a normal sleep-wake cycle, which is beneficial but not as specific to the client's individual needs as continuity of care.

Choice C reason: Having the same nurses care for the patient on consecutive days can provide consistency and build trust, which is especially important for a child in critical condition.

Choice D reason: While visits from school friends can be uplifting, they may not be feasible or appropriate for a client in critical condition in the PICU. The priority is ensuring stable and consistent care.

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What is the likely result of a child fracturing a bone through a portion of the epiphyseal plate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What clinical manifestation associated with a Wilms tumor is the reason most children are initially brought in to be seen by a provider?

Correct Answer is B

Explanation

Which intervention should be implemented for a school-age client admitted to the pediatric intensive care unit (PICU) in critical condition after a motor vehicle accident?

Correct Answer is C

Explanation

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