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 B
Explanation
A. Chelation therapy does not stimulate hemoglobin production; it primarily targets iron overload, which can occur due to repeated transfusions.
B. Chelation therapy helps remove excess iron from the body, which accumulates due to frequent blood transfusions required in children with thalassemia.
C. Chelation therapy does not stimulate RBC production. It addresses the issue of iron overload.
D. Chelation therapy does not prevent infections. It is specifically used to treat iron overload in thalassemia patients.
Correct Answer is D
Explanation
A. Pain management is important, but the priority after surgery is to monitor vital signs and assess for complications like shunt malfunction.
B. Teaching is important but not the priority immediately post-surgery. The priority is to monitor for complications in the immediate postoperative period.
C. Fluid intake is important but not the primary concern immediately after surgery. The focus should be on monitoring for complications and managing pain.
D. After a VP shunt procedure, monitoring for complications such as infection or shunt malfunction is critical. Vital signs should be assessed regularly to detect signs of these complications.
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