Which condition should the nurse suspect in a 6-year-old patient in external traction for a femur fracture who has pain and edema of the thigh and is febrile?

Fasciitis

Compartment syndrome

Osteochondrosis

Osteomyelitis

Answer and Explanation

The Correct Answer is B

Choice A reason: Fasciitis, inflammation of the fascia, could cause pain and possibly edema, but it typically does not cause fever.

Choice B reason: Compartment syndrome is a serious condition where increased pressure within the muscles can lead to muscle and nerve damage as well as problems with blood flow. Pain, edema, and fever could be signs of this condition, especially in a limb that is in traction.

Choice C reason: Osteochondrosis refers to a group of disorders that affect the growth of bones in children and adolescents. While it can cause pain, it does not typically cause edema or fever.

Choice D reason: Osteomyelitis, an infection in the bone, could cause pain, edema, and fever. However, the acute onset of symptoms in a limb under traction is more indicative of compartment syndrome. Osteomyelitis typically has a more gradual onset.

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Correct Answer is A

Explanation

Choice A reason: Palliative care is often beneficial for children with serious illnesses such as leukemia, where the focus is on improving quality of life and providing relief from the symptoms and stress of the illness.

Choice B reason: While a broken arm is painful, it is typically not a condition that requires palliative care, as it does not usually involve a life-threatening or chronic illness.

Choice C reason: Recurrent asthma exacerbations can be serious, but palliative care is generally reserved for more severe chronic conditions that are not well-controlled.

Choice D reason: Third-degree burns are severe and require specialized care, but palliative care is most beneficial for conditions that are chronic and life-limiting, which may not be the case with localized burn injuries.

A. Explain body changes that will take place. B. Maintain the child’s normal routines. C. Allow the child to talk about the illness. D. Encourage friends to visit.

Correct Answer is B

Explanation

Choice A reason: While it is important to prepare the child for changes, maintaining normalcy is more immediately beneficial.
Choice B reason: This is the correct choice. Maintaining normal routines provides a sense of stability and normalcy, which is comforting during a stressful time.
Choice C reason: Allowing the child to talk about the illness is important, but it may not be as comforting as maintaining normal routines.
Choice D reason: Encouraging friends to visit can provide support, but it is not as impactful on daily comfort as maintaining normal routines.

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Which condition should the nurse suspect in a 6-year-old patient in external traction for a femur fracture who has pain and edema of the thigh and is febrile?

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