A 10-year-old girl presents to the urgent care clinic with a dislocated elbow sustained in a roller skating accident. Which of the following is NOT an expected treatment for this girl?
Physical therapy
Reduction
Splinting
Surgical intervention
The Correct Answer is D
Choice A reason: Physical therapy is commonly used after elbow dislocation to restore range of motion and prevent stiffness, making it a standard component of care.
Choice B reason: Reduction, or realignment of the dislocated joint, is the primary initial treatment and is expected in managing elbow dislocations.
Choice C reason: Splinting or immobilization following reduction is standard to maintain stability while soft tissues heal, and it is a routine part of management.
Choice D reason: Surgical intervention is typically not required for uncomplicated elbow dislocations in children, as most can be managed with closed reduction and conservative care. Surgery is reserved for complex fractures or persistent instability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: NDI is not caused by a lack of antidiuretic hormone (ADH); that would describe central diabetes insipidus. In NDI, the kidneys are unresponsive to ADH despite normal or elevated hormone levels.
Choice B reason: NDI can be linked to genetic mutations, particularly X-linked forms, which predominantly affect males. This makes this statement correct.
Choice C reason: NDI is characterized by normal or even elevated ADH levels because the kidney fails to respond appropriately, leading to excessive urination.
Choice D reason: A hallmark of NDI is the production of large volumes of dilute urine, which is a direct result of renal insensitivity to ADH.
Correct Answer is D
Explanation
Choice A reason: Gabapentin is used for neuropathic pain but is generally not first-line for mild to moderate carpal tunnel syndrome, especially during pregnancy.
Choice B reason: Anti-inflammatory medications may be limited during pregnancy due to safety concerns and are not the most effective treatment for compressive neuropathy in the wrist.
Choice C reason: Corticosteroids can provide relief but systemic steroids are generally avoided in pregnancy unless necessary; localized corticosteroid injections may be used but are second-line.
Choice D reason: This choice is correct because wrist splinting, particularly at night, is the first-line conservative treatment for carpal tunnel syndrome, especially in pregnant patients. It helps maintain the wrist in a neutral position, reducing pressure on the median nerve and alleviating symptoms.
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