A nurse is evaluating a child during a well exam. The nurse discovers that one leg is shorter than the other. Which is most likely the cause of the difference in leg length?

Fracture of the epiphyseal plate.

Scoliosis.

Comminuted clavicle fracture.

Juvenile idiopathic arthritis.

Answer and Explanation

The Correct Answer is A

A.   A fracture involving the epiphyseal plate (growth plate) can lead to differential growth in the affected limb. If a fracture occurs before the growth plate has closed, it can potentially result in the shorter leg as the growth in that limb may be inhibited compared to the unaffected leg.
B.   While scoliosis can lead to asymmetrical body positioning and potentially cause a perception of leg length discrepancy, it does not typically cause a true difference in bone length. Instead, scoliosis affects the spine's curvature and may alter posture, but it’s not a direct cause of one leg being shorter than the
other.
C.   A comminuted clavicle fracture primarily affects the shoulder and does not impact leg length. It involves the upper limb and does not contribute to any differences in the lengths of the legs, making this option irrelevant to the observed leg length discrepancy.
D.   JIA can lead to joint inflammation and may affect limb growth if it causes significant damage to the joints. However, while it can potentially cause some discrepancies in limb length due to joint issues, it is less directly associated with one leg being shorter than the other compared to an epiphyseal plate fracture.

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Correct Answer is ["A","D"]

Explanation

A. Patients are often advised to avoid straining during bowel movements and bending at the waist to reduce intraocular pressure and the risk of complications after cataract surgery. This is crucial for promoting healing and preventing dislodgement of the lens.
B. While good lighting can be important for safety and visibility, patients are often advised to avoid excessively bright lights or glare, especially after surgery, as it can be uncomfortable and may not be beneficial during the recovery period. Patients may need to use softer lighting to avoid discomfort.
C. After cataract surgery, patients are typically advised to lie on their back or the non-operative side to avoid pressure on the eye that underwent surgery. Lying on the abdomen is not recommended and could pose a risk to the surgical site.
D. Patients are often instructed to avoid heavy lifting for a period after surgery to prevent increased intraocular pressure and potential complications. Lifting more than 15 lbs is generally discouraged during the initial recovery phase.

A. Potassium B. Magnesium C. Calcium D. Sodium

Correct Answer is A

Explanation

A. Thiazide diuretics can lead to hypokalemia (low potassium levels) as they increase potassium excretion in the urine. Therefore, increasing potassium intake is crucial to prevent hypokalemia and its associated complications, such as arrhythmias.
B. While magnesium levels can also be affected by diuretics, it's not as significant as potassium depletion.
C. Thiazide diuretics can actually increase calcium reabsorption in the kidneys, leading to potential hypercalcemia. Therefore, increasing calcium intake is not recommended.
D. Thiazide diuretics are used to reduce sodium and water retention, so increasing sodium intake would counteract their effect.

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A nurse is evaluating a child during a well exam. The nurse discovers that one leg is shorter than the other. Which is most likely the cause of the difference in leg length?

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Naxlex Comprehensive Predictor Exams

The nurse is giving a client discharge instructions following cataract removal with intraocular lens implant. Discharge instructions should include which of the following?

Correct Answer is ["A","D"]

Explanation

When teaching a patient who is taking thiazide diuretics, the nurse will encourage the patient to increase the intake of which electrolyte?

Correct Answer is A

Explanation

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