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: 300-800 ml/day is too low for a child with sickle cell disease, risking dehydration and sickling crises. 1500-2000 ml maintains hydration, making this insufficient and incorrect compared to the adequate fluid intake needed to prevent complications in the child’s home care.
Choice B reason: 1500-2000 ml/day ensures adequate hydration for a child with sickle cell disease, reducing blood viscosity and sickling risk. This aligns with pediatric hematology guidelines for preventing crises, making it the correct fluid intake recommendation for the caregiver to support the child’s health at home.
Choice C reason: 2500-3200 ml/day exceeds typical needs for a child, risking fluid overload without added sickle cell benefit. 1500-2000 ml is optimal, making this excessive and incorrect compared to the recommended fluid range for managing sickle cell disease effectively at home.
Choice D reason: 1000-1200 ml/day is below the optimal range for a child with sickle cell disease, increasing dehydration and crisis risk. 1500-2000 ml better supports hydration, making this inadequate and incorrect compared to the fluid intake needed to prevent sickle cell complications.
Correct Answer is D
Explanation
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.
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