The nurse is discussing types of treatment used when working with children who have orthopedic disorders. Which form of treatment covers the lower part of the body, usually from the waist down, and either one or both legs while leaving the feet open?
External fixation device
Stockinette
Internal fixation device
Spica cast
The Correct Answer is D
Choice A reason: External fixation devices use pins and frames to stabilize bones externally, not covering the body like a cast. A spica cast encases the lower body, leaving feet open, making this incorrect for the treatment described in pediatric orthopedic care for lower body immobilization in children.
Choice B reason: Stockinette is a soft fabric used under casts for comfort, not a treatment covering the body. A spica cast fits the description of encasing the waist and legs, leaving feet open, making this incorrect for the specific orthopedic treatment discussed for children with disorders.
Choice C reason: Internal fixation devices, like plates or screws, are surgical implants, not external body coverings. A spica cast matches the description of covering the lower body with open feet, making this incorrect for the treatment used in pediatric orthopedic disorders requiring immobilization.
Choice D reason: A spica cast covers the lower body from the waist down, including one or both legs, while leaving the feet open, used for pediatric orthopedic conditions like hip dysplasia. This aligns with treatment descriptions, making it the correct choice for the question about orthopedic care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Scoliosis screening is typically prioritized in older children (10-14 years), as curvature often appears during puberty. Vision and hearing screenings are critical for 6-8-year-olds to support learning, making this less urgent and incorrect for the prioritized screening in this elementary school age group.
Choice B reason: Vision and hearing screenings are critical for 6-8-year-olds, as deficits can impair academic performance and development. Early detection ensures timely intervention, aligning with pediatric school health guidelines, making this the prioritized screening for elementary students to support their educational and health needs.
Choice C reason: Assessing nutritional needs is important but less standardized as a routine screening compared to vision and hearing, which directly impact learning. These screenings take precedence, making this less critical and incorrect for the nurse’s priority in routine health checks for 6-8-year-olds.
Choice D reason: Reviewing immunization records ensures compliance but is administrative, not a health screening like vision and hearing, which detect active issues. These screenings are more urgent, making this incorrect compared to prioritizing assessments that directly affect the health of 6-8-year-old students.
Correct Answer is B
Explanation
Choice A reason: Imitating adult behavior to be nice does not explain the child’s withdrawal and concern when the father is away. Fear of loss better accounts for these anxiety-driven behaviors post-accident, making this less fitting and incorrect for the child’s emotional response to the traumatic event.
Choice B reason: The child’s withdrawal and concern when the father is away suggest fear of losing him after the accident, a common reaction in young children. This aligns with pediatric psychology evidence on trauma response, making it the correct factor explaining the child’s behavior in this context.
Choice C reason: Fear of personal injury is less likely than fear of losing the father, given the child’s focus on the father’s absence. Withdrawal reflects attachment anxiety, not self-protection, making this less accurate and incorrect compared to the loss-related emotional response observed in the child.
Choice D reason: Believing he caused the accident is possible but less supported without evidence of guilt statements. Fear of loss better explains the child’s withdrawal and concern for the father’s absence, making this speculative and incorrect for the primary behavioral factor affecting the 5-year-old.
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