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 C

Explanation

A. Woolen clothes may irritate the skin and should be avoided by children with eczema.
B. Hot water and frequent baths can dry out and irritate the skin, worsening eczema. Lukewarm water is recommended.
C. Loose cotton clothing helps to minimize irritation and sweating, which can worsen eczema symptoms.
D. Moisturizers are essential for managing eczema and preventing skin dryness. They should be used regularly.

A. Tachycardia B. Hyporeflexia C. Increased appetite D. Negative Babinski reflex

Correct Answer is A

Explanation

A. Tachycardia can occur with a brain tumor due to increased intracranial pressure and systemic stress responses.
B. Hyporeflexia is not a typical sign of a brain tumor. Hyperreflexia or changes in reflexes may be seen with central nervous system involvement.
C. Decreased appetite is more common due to nausea, vomiting, and other neurological symptoms associated with brain tumors.
D. A negative Babinski reflex is normal in children over 2 years old, and a positive Babinski reflex (extending the toes) may indicate neurological involvement, not a typical finding in brain tumors.

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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.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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