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While pain management is important, requesting only oral analgesics addresses a symptom without addressing the underlying lack of improvement in the infection. Untreated or inadequately treated osteomyelitis can lead to significant morbidity. Prioritizing symptomatic relief over addressing the root cause can delay appropriate medical intervention and worsen the patient's condition.

While calcium (normal range: 8.5-10.5 mg/dL) is vital for bone health, encouraging calcium-rich foods is a long-term supportive measure for bone healing. It does not address the immediate and concerning signs of ongoing, uncontrolled infection. Addressing the active infection takes precedence over nutritional support for healing at this stage.

While antibiotic therapy does take time to show full effect, 72 hours with worsening symptoms, including elevated WBC, suggests the current therapy is failing. Reassuring the family without addressing these objective signs of non-improvement can delay necessary medical intervention and potentially harm the patient by allowing the infection to progress further.

Increased energy levels are typically not a symptom of depression in younger children. Instead, depression often manifests as a reduction in energy, leading to fatigue, lethargy, and a general lack of motivation or interest in previously enjoyed activities. This shift in energy levels can significantly impact daily functioning and play.

Decreased irritability is not a common symptom of depression in younger children. On the contrary, young children experiencing depression often exhibit heightened irritability, anger outbursts, and defiance as external manifestations of their internal distress and sadness. This can lead to difficulties in social interactions.

Improved concentration is not a symptom of depression; rather, impaired concentration and difficulty focusing are hallmark signs. Children with depression often struggle with academic tasks, forgetfulness, and an inability to sustain attention, leading to a decline in school performance and frustration.

This statement incorrectly defines both terms. Multigravida refers to a woman who has experienced multiple pregnancies, while primigravida specifically denotes a woman who is pregnant for the very first time, regardless of the outcome of any previous pregnancies.

This statement is incorrect as there is a distinct difference between multigravida and primigravida based on the number of prior pregnancies. These terms are fundamental in obstetrics for assessing maternal risk factors and guiding clinical management.

This statement is incorrect. Multigravida refers to a woman who has been pregnant more than once, not someone who has never been pregnant. Nulligravida is the term for a woman who has never been pregnant. Primigravida, in contrast, specifically describes a woman in her first pregnancy.

Encouraging academic breaks without addressing the root cause of the student's distress is unlikely to resolve the underlying issues. While breaks can be beneficial, they do not provide the comprehensive support needed for significant behavioral and emotional changes that suggest potential mental health concerns. This approach may delay necessary professional intervention.

Contacting the child's teacher to discuss tutoring focuses solely on the academic decline and overlooks the emotional and behavioral cues. While academic support might be needed, it does not address the possible mental health component indicated by the flat affect and avoidance of eye contact, which are often symptoms of distress.

Notifying the parent to request a medical workup is a reasonable step if a physical health issue is suspected. However, the constellation of symptoms (behavioral changes, emotional blunting, social withdrawal) more strongly points towards a mental health concern rather than a purely physical one, making a referral to a mental health professional more immediately relevant.
 

Phalen's Maneuver is a diagnostic test used to assess for carpal tunnel syndrome. It involves sustained wrist flexion, which increases pressure within the carpal tunnel, exacerbating median nerve compression symptoms such as tingling and numbness in the hand. This test is unrelated to spinal curvature assessment.

The Romberg Test evaluates proprioception and cerebellar function, assessing a person's ability to maintain balance with eyes closed. It helps identify neurological deficits affecting balance and coordination but does not involve direct assessment of spinal alignment or curvature, thus it is not used for scoliosis screening.

Lasegue's Sign Test, also known as the Straight Leg Raise Test, is used to detect nerve root irritation, typically associated with sciatica or herniated lumbar discs. It involves passively raising the straightened leg of a supine patient to elicit pain, indicating nerve compression. This test is not for scoliosis screening.

Using an expired car seat or one that has been involved in a previous accident is highly dangerous. Over time, materials degrade, and the structural integrity of a car seat can be compromised after an accident, even if there are no visible signs of damage. Expired seats may not meet current safety standards.

Always placing the car seat in the front seat, facing forward, is incorrect and extremely dangerous. The front passenger airbag can deploy with significant force, causing severe or fatal injuries to an infant in a car seat. Infants and young children should always be in the back seat to mitigate this risk.

Placing the car seat in the middle of the back seat, facing forward, is incorrect for infants. Infants should always be in a rear-facing car seat until they meet the maximum height or weight limits for their rear-facing car seat, typically around 2 years of age or older. The middle back seat is generally safest for placement due to optimal crash protection.

Muscular dystrophy is a progressive, incurable genetic disorder characterized by muscle degeneration and weakness. While supportive care can manage symptoms and complications, there is currently no known cure. Therefore, setting a goal to cure the disease is unrealistic and inappropriate in the nursing care plan.

Muscular dystrophy leads to progressive muscle weakness, making rapid ambulation increasingly difficult and eventually impossible. Promoting rapid ambulation as a goal is counterproductive and unrealistic, as it does not align with the progressive nature of the disease and could lead to injury. The focus shifts to maintaining mobility for as long as possible.

Reversing muscle weakness in muscular dystrophy is not possible because the disease involves the degeneration of muscle fibers due to genetic defects. Nursing interventions focus on managing symptoms, slowing progression, and maintaining function, but they cannot reverse the underlying pathological process of muscle fiber loss and replacement with connective tissue.

Documenting findings is a crucial nursing responsibility, but it is not the immediate intervention for addressing late decelerations. Scientific principles dictate that physiological stabilization takes precedence over documentation when fetal well-being is compromised. Documentation would follow after initial interventions are implemented to improve the fetal status.

Adjusting fetal monitor sensors might be necessary if the tracing is poor quality, but it does not directly address the physiological cause of late decelerations. Late decelerations reflect uteroplacental insufficiency, not merely a monitoring artifact. Addressing the underlying physiological compromise is the priority before troubleshooting equipment.

Inserting a fetal scalp electrode provides a more accurate assessment of fetal heart rate by directly monitoring the fetus. However, this is an invasive procedure and is typically considered after initial conservative measures, such as maternal repositioning and oxygen administration, have been attempted without resolution of the late decelerations.