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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Edema with normal or low BP is correct. In nephrotic syndrome, fluid retention leads to edema, and blood pressure is typically normal or low due to the loss of protein in the urine and reduced plasma oncotic pressure.
B. Edema with hypertension is less common in nephrotic syndrome but may occur in cases with significant fluid retention or other complications.
C. Unexpected weight loss is incorrect. Weight gain due to fluid retention is a hallmark of nephrotic syndrome.
D. Frequency and urgency are not common symptoms of nephrotic syndrome; these are more typical of urinary tract infections.
Correct Answer is A
Explanation
A. Elevating the legs on a pillow helps reduce swelling and discomfort while the cast is healing.
B. Heat therapy should not be applied to the casted area, as it could cause skin irritation or burns.
C. Casts should not be removed for bathing unless specifically ordered by the provider.
D. Encouraging the infant to crawl or bear weight on the affected leg is not appropriate until the cast is removed and healing is complete.
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