The nurse has completed discharge teaching for the family of a child diagnosed with Legg-Calvé-Perthes disease. Which statement by the family indicates the need for further education?
"We're glad this will only take about six weeks to correct."
"We understand swimming is a good sport for Legg-Calve-Perthes."
"We know to watch for areas on the skin the brace may rub."
"We understand that abduction of the affected leg is important."
The Correct Answer is A
Rationale:
A. The treatment and healing process for Legg-Calvé-Perthes disease typically takes months to years, not just six weeks. This statement reflects a misunderstanding and indicates the need for further education.
B. Swimming is a low-impact activity that helps maintain joint mobility and muscle strength without putting stress on the hip.
C. Monitoring skin integrity is important to prevent pressure sores from braces or orthotic devices.
D. Maintaining abduction of the affected leg helps keep the femoral head properly positioned in the hip socket, which is important in treatment.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Rationale:
A. Docusate sodium is a stool softener often used in children with cerebral palsy due to decreased mobility and frequent constipation.
B. Diazepam is a benzodiazepine used to reduce muscle spasticity and seizures in cerebral palsy.
C. Baclofen is a muscle relaxant commonly used to manage spasticity in patients with cerebral palsy. It can be given orally or via intrathecal pump.
D. Methylphenidate is a stimulant used primarily for ADHD and is not a typical treatment for cerebral palsy itself.
E. Atropine is an anticholinergic medication not typically used in the routine management of cerebral palsy.
Correct Answer is C
Explanation
Rationale:
A. While penicillin allergy is common, it is not specifically associated with spina bifida.
B. Cloth tape may cause skin irritation, but there is no known link to spina bifida.
C. Children with spina bifida have a significantly increased risk of latex allergy due to frequent exposure during medical procedures and surgeries early in life. Latex precautions should be implemented from birth.
D. Augmentin (amoxicillin-clavulanate) is not specifically related to spina bifida or its care.
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