The nurse is assessing a 2-year-old client who has sustained a fracture from falling off a slide while playing in the park. What type of fracture did the child most likely sustain?

Glucose tolerance test in combination with a Growth hormone measurement. Acromegaly is a condition in which there is an excess of growth hormone (GH) production by the anterior pituitary gland, resulting in abnormal growth of bones and tissues in the body. The definitive diagnostic test for acromegaly involves a glucose tolerance test combined with a measurement of GH levels. During the test, the client will be given a dose of glucose, and the GH levels will be measured before and after the glucose is given. In acromegaly, the GH levels remain elevated even after glucose administration.

Choice A, bone radiographs, may show the enlarged bones associated with acromegaly, but it is not the definitive diagnostic test for the condition.

Choice C, growth hormone levels, is not specific enough for diagnosing acromegaly, as elevated GH levels can occur in other conditions as well.

Choice D, a serum glucose level, is not specific for acromegaly, as the glucose level may be normal in clients with the condition.

Choice A, A short leg cast is applied to immobilize the lower leg, specifically covering the area from below the knee to the base of the toes, and it often keeps the foot in a neutral position. It is typically used for fractures of the foot, ankle, or lower leg.

Choice B, hip spica cast, is not the correct answer because it is used for fractures of the hip or thigh.

Choice C, walking cast, is not the correct answer because it is a removable cast that allows the client to walk while it is on.

Choice D,A long leg cast extends from the thigh or hip down to the toes and is used for fractures of the knee, lower leg, or foot.