A 12-year-old overweight adolescent was diagnosed with an unstable slipped capital femoral epiphysis. Appropriate anticipatory guidance for this child is to:
avoid contact sports until growth is complete.
use a wheelchair, especially during the acute phase of the condition.
apply ice to the hip for 24 hours, then switch to heat applications.
explain that surgical repair will be required.
The Correct Answer is D
Rationale:
A. Avoiding contact sports is important long-term, but it is not the immediate priority for an unstable slipped capital femoral epiphysis (SCFE).
B. While limited weight-bearing is essential, prolonged wheelchair use is typically only required until surgical stabilization, not as a permanent measure.
C. Ice or heat applications provide minimal benefit for SCFE; they do not address the mechanical instability of the hip.
D. Surgical repair is the definitive treatment for an unstable SCFE. Prompt surgical intervention, usually in situ pinning, is necessary to prevent further slippage, reduce the risk of avascular necrosis, and restore hip stability. Early recognition and timely surgery are critical components of anticipatory guidance for the patient and family
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Metabolic acidosis may cause rapid breathing or lethargy but is not primarily indicated by fever.
B. In infants younger than 3 months, a temperature greater than 100.4°F (38°C) is concerning for a serious bacterial or viral infection due to their immature immune systems. Even mild fevers in this age group warrant prompt evaluation for sepsis, urinary tract infections, or meningitis.
C. Renal artery disease does not typically present with isolated fever in young infants.
D. Congenital heart defects may cause cyanosis, tachypnea, or poor feeding, but fever is not a primary sign.
Correct Answer is B
Explanation
Rationale:
A. A chordee refers to a downward curvature of the penis, often associated with hypospadias, but it is not defined by the location of the urethral opening.
B. Hypospadias is a congenital condition in which the urethral opening is located on the ventral (underside) surface of the penis rather than at the tip of the glans. Early identification is important for surgical planning.
C. Epispadias is characterized by a urethral opening on the dorsal (top) surface of the penis.
D. Cryptorchidism refers to undescended testes and does not affect the urethral meatus.
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