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 ["A","C","D"]

Explanation

A. Right atrial enlargement occurs due to the increased blood flow from left to right shunting, which can cause volume overload in the right atrium.
B. Left atrial enlargement is typically seen in conditions that cause increased left atrial pressure, such as mitral valve disease or left-sided heart failure, not in ASD.
C. Shortness of breath is a common symptom due to increased blood flow to the lungs, which can lead to pulmonary congestion.
D. Pulmonary hypertension may develop over time due to increased blood flow and pressure in the pulmonary circulation from the left-to-right shunting of blood.
E. Pulmonary hypotension is not associated with ASD. The condition typically leads to increased pressure in the pulmonary arteries, not decreased pressure

A. Elevating the legs on a pillow B. Applying heat therapy to the casted area C. Removing the casts periodically for bathing D. Encouraging the infant to crawl and bear weight on the affected leg

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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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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