The nurse receives a report from the admission department that a child with a slipped capital femoral epiphysis is in route to the care area. For which type of child should the nurse begin to plan care?
Obese preadolescent male
Preadolescent female
Tall, thin female
Active school-age male
The Correct Answer is A
A. Slipped capital femoral epiphysis (SCFE) is most commonly seen in obese children, particularly males, during the preadolescent growth spurt (typically ages 10–16). Excess body weight increases stress on the growth plate (epiphysis) of the femoral head, making it more prone to slippage. Recognizing the high-risk population allows the nurse to anticipate complications, provide appropriate monitoring, and prepare for surgical intervention, which is the standard treatment.
B. While SCFE can occur in females, it is less common than in males. Female cases often present slightly later and may be associated with hormonal or endocrine factors, but statistically, preadolescent males are at higher risk.
C. SCFE is not typically associated with a tall, thin body type. This description is more characteristic of other orthopedic conditions, such as Marfan syndrome-related skeletal issues, rather than SCFE.
D. Physical activity alone is not a primary risk factor for SCFE. The condition is largely associated with obesity and rapid growth, not activity level.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While antidepressants may occasionally be used in children with cerebral palsy (CP) to manage associated mood disorders, they do not directly reduce spasticity. They are not considered a primary therapy for the neuromuscular manifestations of CP.
B. Anti-spasmodic medications, such as baclofen, diazepam, or dantrolene, are used to reduce muscle spasticity in children with cerebral palsy. These medications act on the central nervous system or directly on muscle fibers to relax hypertonic muscles, improve mobility, decrease pain from muscle stiffness, and facilitate physical therapy interventions. This classification aligns directly with the therapeutic goal of reducing spasticity in CP.
C. Beta blockers are primarily used to manage cardiovascular conditions such as hypertension, arrhythmias, or migraines. They do not affect muscle tone or spasticity in children with cerebral palsy, making them irrelevant for this therapeutic goal.
D. Corticosteroids may be used in certain neuromuscular disorders like muscular dystrophy to reduce inflammation and slow disease progression, but they do not have a primary role in reducing spasticity in cerebral palsy. Their effects are unrelated to the control of hypertonic muscle activity seen in CP.
Correct Answer is ["1618"]
Explanation
Step 1: Convert pounds to kilograms
1 kg = 2.2 lb
57 lb ÷ 2.2 = 25.9 kg
Step 2: Use the Holliday-Segar method
- First 10 kg → 100 mL/kg = 10 × 100 = 1000 mL
- Next 10 kg → 50 mL/kg = 10 × 50 = 500 mL
- Remaining weight: 25.9 – 20 = 5.9 kg
→ 5.9 × 20 mL = 118 mL
Step 3: Total daily fluid requirement
1000 + 500 + 118 = 1618 mL/day
Final Answer: 1618 mL
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.