In Class Activity Flashcards
This is on the Louden/Gallbreath portion.
The school nurse is screening the sixth graders for scoliosis. She notices that one of the students has excessive convex curvature of the cervical thoracic spine. This finding would be indicative of what?
Kyphosis
A nurse is caring for a child hospitalized for osteomyelitis. Which of the following interventions would be included in the child’s plan of care?
1) Administer IV antibiotics
2) Assess the child for signs of infection.
3) Encourage fluid intake.
A nurse is educating a family about the type of fracture their 8 year old son has experienced. Which description would be an accurate way to explain a closed fracture of the radius to the family?
One of the bones in the arm broke completely, but did not penetrate the skin.
A nurse is evaluating a child for compartment syndrome after a fracture reduction. Which assessment finding would alert the nurse to the presence of this complication?
Absence of a space between cast and extremity.
A school nurse is evaluating a child who hurt her leg in the gym class. The nurse feels it is a muscle strain, but is still going to refer her to her pediatric nurse practitioner. Which instruction should the child follow until she is seen by the PNP?
Apply ice for 20 minutes at a time.
Describe sports and soft tissue musculoskeletal injuries that may occur in children:
Sprains- Stretching or tearing in ligament from injury to a joint.
Strains- Stretching or tearing in a muscle or over use or stretching of tissues.
Contusions- Most common. Tearing of tissues and capillaries.
Abrasions- Cuts in the skin.
Name the common treatment and nursing management for the various sports injuries.
Slings, braces, splints, closed or open reduction and immobilization.
MGMT: rest, ice, compression, elevation above the heart, pain management, monitor neuro status.
Page 1309
Study it. Particularly cast removal.
Page 1304
Home care for the child. Study it.
Compartment syndrome will be on the test.
Know all about it. Key S/S: complaints of pain and the patient says the pain meds do not help.
Page 1306?
Skeletal Traction. Know it.
Six P’s:
Pain, pallor, parasthesia, paralysis and…(I missed the last one)
Page 1310
She said to know how to assess but you do not have to know the classifications.
page 1301
You should be able to determine if something is closed or open and which type is most common for children (oblique, etc).
Define Muscular Dystrophy
A group of progressive degenerative inherited diseases causing a wasting of the muscles.