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. Low levels of AFP are not diagnostic of any condition, but they could indicate a potential issue, requiring further investigation.
B. A negative AFP test does not rule out genetic issues, as AFP is just one screening tool.
C. High levels of AFP may indicate a neural tube defect or other issues and warrant further testing, such as ultrasound or amniocentesis.
D. An elevated AFP level is associated with neural tube defects but does not definitively indicate the presence of one without further testing.

A. Administer bisphosphonate medications to increase bone density. B. Encourage the use of assistive devices such as crutches or wheelchairs. C. Apply heat to painful areas to relieve discomfort. D. Encourage resistance band exercises E. Provide a safe environment to prevent fractures.

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

Explanation

A. Bisphosphonates help increase bone density and reduce the frequency of fractures in children with osteogenesis imperfecta.
B. Assistive devices like crutches or wheelchairs help reduce the risk of fractures by providing support and reducing the load on fragile bones.
C. Heat is not a standard intervention for osteogenesis imperfecta. The child’s bones are fragile, and
applying heat may not be beneficial and could cause further injury.
D. Resistance exercises are not recommended for osteogenesis imperfecta, as they could lead to fractures due to the fragile nature of the bones.
E. Ensuring a safe environment to prevent falls and fractures is essential in managing osteogenesis imperfecta.

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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

A nurse is teaching a group of pregnant clients about health screening during pregnancy. When discussing Alpha-fetoprotein (AFP) testing, which of the following statements should be included in the education?

Correct Answer is C

Explanation

A nurse is caring for a child with Osteogenesis Imperfecta type 3. Which of the following interventions should the nurse implement for this child? SELECT ALL THAT APPLY

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

Explanation

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