A Nurse is caring for a child with Slipped Capital Femoral Epiphysis (SCFE). Which interventions should be prioritized for a child with SCFE? SELECT ALL THAT APPLY.

Administration of nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management

Restriction of weight-bearing activities to prevent further damage

Prescription of crutches for mobility assistance

Application of ice packs to reduce inflammation

Immediate referral to an orthopedic specialist for evaluation

Application of a heat pack to relieve muscle tension

Answer and Explanation

Correct Answer : B,C,E

A.   NSAIDs may help with pain management, but they are not the primary treatment for SCFE.
B.   Restricting weight-bearing activities is crucial to prevent further damage and complications to the affected hip joint.
C.   Crutches may be prescribed to assist with mobility and prevent weight-bearing on the affected hip.
D.   Ice packs may reduce inflammation but are secondary to more important interventions like weight restriction and orthopedic referral.
E.   Immediate referral to an orthopedic specialist is necessary for appropriate diagnosis and management, including possible surgery.
F.   Heat packs are not recommended for SCFE because they could increase blood flow and swelling in the affected area.

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Correct Answer is ["B","C","E"]

Explanation

A. Clear bilateral breath sounds are not typical in PDA; instead, crackles or signs of respiratory distress may be present.
B. Dyspnea (difficulty breathing) is common due to the increased pulmonary blood flow from the PDA.
C. A machine-like murmur heard at the right upper sternal border is characteristic of PDA.
D. Cyanosis is typically not present in isolated PDA unless the PDA is large and leads to right-to-left shunting.
E. Difficulty feeding is a common symptom because the newborn may tire easily due to inefficient circulation and increased work of breathing.

A. No venipuncture or blood pressure in either arm. B. Avoid administering nephrotoxic medications. C. Collect all urine. D. Strict fluid restrictions.

Correct Answer is A

Explanation

A. Wilms' tumor is a kidney tumor, and the child should not have blood pressure measured or venipuncture done on the affected side to avoid any potential injury to the kidney.
B. This is important in care but is not the primary immediate precaution. The main focus is to avoid injury to the affected kidney.
C. While urine collection is important for monitoring kidney function, it is not a warning sign for Wilms' tumor.
D. This may be necessary later in the treatment but is not a primary concern for the initial care of a child with Wilms' tumor.

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A Nurse is caring for a child with Slipped Capital Femoral Epiphysis (SCFE). Which interventions should be prioritized for a child with SCFE? SELECT ALL THAT APPLY.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a newborn with suspected Patent Ductus Arteriosus (PDA). What signs and symptoms should the nurse expect to find when assessing the newborn? (Select All That Apply).

Correct Answer is ["B","C","E"]

Explanation

A nurse is admitting a child with a suspected diagnosis of Wilm's tumor. The nurse should place a sign with which of the following warnings about this child?

Correct Answer is A

Explanation

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