Question

The nurse is talking with the caregiver of a 13-year-old diagnosed with scoliosis.The child has come to the clinic to be fitted with a brace to begin her treatment. The child appears upset and angry and states, "l hate this brace; I hate it already." In an effort to support this child which statement would be the most appropriate for the nurse to make to this child's caregiver?

Answer 1

Correct Answers:

"If you can afford it, let your daughter choose an article or two of clothing that she can wear with the brace that will help her feel that she looks good.".

Rationale :

👗 Allowing the adolescent to have some control over appearance promotes autonomy and self-esteem during a difficult adjustment period.

👗 Adolescents are highly self-conscious, and supporting their image helps with treatment acceptance.

👗 Encouraging personal choice acknowledges the child's feelings and fosters emotional support during scoliosis management.

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Answer 2

Correct Answers:

"l will check my baby's skin three times each day.".

Rationale :

👶🩺 Frequent skin checks (at least 2–3 times daily) are crucial with a Pavlik harness to prevent pressure injuries.

👶🩺 Straps should only be adjusted by the provider, not the caregiver.

👶🩺 Proper skin care maintains safety while allowing effective treatment of developmental hip dysplasia.

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Answer 3

Correct Answers:

Difficulty climbing stairs.

Rationale :

🧗‍♂️ Early muscular dystrophy signs include difficulty with climbing stairs, running, or rising from a seated position.

🧗‍♂️ These difficulties are caused by progressive muscle weakness beginning in early childhood.

🧗‍♂️ Recognizing motor delays allows early intervention and management of disease progression.

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Answer 4

Correct Answers:

Skeletal traction.

Rationale :

🦴 Skeletal traction uses pins, wires, or tongs inserted directly into bone for long-term immobilization of fractures.

🦴 It provides stronger, more sustained traction compared to skin traction.

🦴 Proper pin site care is critical to prevent infection.

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Answer 5

Correct Answers:

Feels increasing severe pain.

Rationale :

⚡ Severe, increasing pain unrelieved by medication is an early hallmark of compartment syndrome.

⚡ Swelling increases pressure within the compartment, compromising circulation and nerve function.

⚡ Prompt recognition and intervention (fasciotomy) can save limb function.

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Answer 6

Correct Answers:

Paresthesia.

Rationale :

✋ Paresthesia refers to numbness, tingling, or burning sensations and is an early sign of nerve impairment.

✋ Monitoring for paresthesia after cast placement helps detect complications like compartment syndrome early.

✋ Other signs (pain, paralysis) follow later if pressure is not relieved.

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Answer 7

Correct Answers:

Notify the RN; she will notify the provider.

Rationale :

📞 A postpartum temperature of 102.4°F (39.1°C) is concerning for infection (e.g., endometritis).

📞 Immediate reporting ensures prompt intervention like labs, antibiotics, or additional monitoring.

📞 Delay in action could lead to worsening sepsis or complications.

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Answer 8

Correct Answers:

Uterine contraction lasting 2 min.

Rationale :

⏱️ A contraction lasting longer than 90–120 seconds (tetanic contraction) risks uteroplacental insufficiency and fetal distress.

⏱️ Prolonged contractions decrease blood flow and oxygen to the fetus.

⏱️ Immediate provider notification and interventions like repositioning or tocolysis may be needed.

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Answer 9

Correct Answers:

Difficulty maintaining sustained attention.

Rationale :

🔍 Difficulty maintaining attention is a primary characteristic of ADHD.

🔍 Other common symptoms include impulsivity and hyperactivity, but inattentiveness significantly affects learning and behavior.

🔍 Recognizing attention deficits aids in early diagnosis and intervention.

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Answer 10

Correct Answers:

Have crackers handy at the bedside and eat a few before getting out of bed.

Rationale :

🍪 Morning nausea during pregnancy often results from an empty stomach and hormonal shifts.

🍪 Eating bland, dry foods like crackers before rising can stabilize stomach acid and improve symptoms.

🍪 Avoiding large fluid intake at the start of meals also helps reduce nausea.

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QLexNursing

2 :
A nurse is reinforcing teaching with the mother of a 2-month-old infant whose provider applied a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia. Which of the following statements by the mother indicates an understanding of the teaching?

3 :
The nurse is teaching family members of a child newly diagnosed with muscular dystrophy about early signs. The nurse knows that teaching was successful when a parent states that which of the following signs may indicate the condition early?

4 :
An infant suffered from a fracture of the humerus and requires traction that uses pins, wires, and tongs. What type of traction is this?

5 :
The nurse caring for a child who has been put into a leg cast must be on alert for signs of nerve and muscle damage. Which symptom might be an early warning signal that the child has developed compartment syndrome?

6 :
The nurse is doing neurovascular checks on a child who has had a cast applied to treat a fracture. The nurse observes for diminished or absent sensation and numbness or tingling. In doing this, the nurse is monitoring which symptom?

7 :
The nurse is monitoring a client who is 3 hours postpartum. On assessment, the nurse notes a temperature of 102.40F. Which action should the nurse prioritize?

8 :
A nurse is assisting in the care of a client who is in the second stage of labor. Which of the following findings should the nurse report to the provider?

9 :
A nurse is collecting data on an adolescent client who has attention deficit hyperactivity disorder (ADHD). Which of the following manifestations should the nurse expect to find?

10 :
A pregnant woman is experiencing nausea in the early morning. What recommendations would the nurse offer to alleviate this symptom?

QLexNursing

2 : A nurse is reinforcing teaching with the mother of a 2-month-old infant whose provider applied a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia. Which of the following statements by the mother indicates an understanding of the teaching?

3 : The nurse is teaching family members of a child newly diagnosed with muscular dystrophy about early signs. The nurse knows that teaching was successful when a parent states that which of the following signs may indicate the condition early?

4 : An infant suffered from a fracture of the humerus and requires traction that uses pins, wires, and tongs. What type of traction is this?

5 : The nurse caring for a child who has been put into a leg cast must be on alert for signs of nerve and muscle damage. Which symptom might be an early warning signal that the child has developed compartment syndrome?

6 : The nurse is doing neurovascular checks on a child who has had a cast applied to treat a fracture. The nurse observes for diminished or absent sensation and numbness or tingling. In doing this, the nurse is monitoring which symptom?

7 : The nurse is monitoring a client who is 3 hours postpartum. On assessment, the nurse notes a temperature of 102.40F. Which action should the nurse prioritize?

8 : A nurse is assisting in the care of a client who is in the second stage of labor. Which of the following findings should the nurse report to the provider?

9 : A nurse is collecting data on an adolescent client who has attention deficit hyperactivity disorder (ADHD). Which of the following manifestations should the nurse expect to find?

10 : A pregnant woman is experiencing nausea in the early morning. What recommendations would the nurse offer to alleviate this symptom?

2 :
A nurse is reinforcing teaching with the mother of a 2-month-old infant whose provider applied a Pavlik harness 1 week earlier for the treatment of developmental hip dysplasia. Which of the following statements by the mother indicates an understanding of the teaching?

3 :
The nurse is teaching family members of a child newly diagnosed with muscular dystrophy about early signs. The nurse knows that teaching was successful when a parent states that which of the following signs may indicate the condition early?

4 :
An infant suffered from a fracture of the humerus and requires traction that uses pins, wires, and tongs. What type of traction is this?

5 :
The nurse caring for a child who has been put into a leg cast must be on alert for signs of nerve and muscle damage. Which symptom might be an early warning signal that the child has developed compartment syndrome?

6 :
The nurse is doing neurovascular checks on a child who has had a cast applied to treat a fracture. The nurse observes for diminished or absent sensation and numbness or tingling. In doing this, the nurse is monitoring which symptom?

7 :
The nurse is monitoring a client who is 3 hours postpartum. On assessment, the nurse notes a temperature of 102.40F. Which action should the nurse prioritize?

8 :
A nurse is assisting in the care of a client who is in the second stage of labor. Which of the following findings should the nurse report to the provider?

9 :
A nurse is collecting data on an adolescent client who has attention deficit hyperactivity disorder (ADHD). Which of the following manifestations should the nurse expect to find?

10 :
A pregnant woman is experiencing nausea in the early morning. What recommendations would the nurse offer to alleviate this symptom?