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What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?


A) Ambulates by holding onto furniture
B) Exhibits atrophy of the calf muscles
C) Falls frequently and is clumsy
D) Has delayed fine-motor development

E) B) and C)
F) A) and B)

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What factor(s) may trigger abuse in a parent? (Select all that apply. )


A) Being abused as a child
B) High self-esteem
C) Substance abuse
D) Overwhelming responsibility
E) Knowledge deficit relative to child care

F) A) and C)
G) C) and E)

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The nurse is reviewing the characteristics of Ewing's sarcoma.Which statement if made by the nurse indicates correct understanding of this disease?


A) "Amputation is the accepted treatment."
B) "The disease is sensitive to radiation and chemotherapy."
C) "Metastasis is rare."
D) "The disease is more prevalent among toddlers and preschoolers."

E) A) and B)
F) All of the above

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The nurse explains that Bryant's traction is reserved for children who weigh less than _____ pounds.

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30
Bryant's traction is a skin traction ...

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A 13-year-old girl is diagnosed with functional scoliosis.What does the nurse explain as the cause of this spinal curvature defect?


A) Juvenile rheumatoid arthritis
B) Poor posture
C) Heredity
D) Myelomeningocele

E) A) and B)
F) A) and C)

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On entering the room of a child in Buck traction,the nurse makes all of the following observations.Which observation requires a nursing intervention?


A) Child's heels are placed firmly against the foot of the bed.
B) Head of bed is elevated 20 degrees.
C) Weights are hanging freely.
D) Ropes are on pulleys.

E) A) and C)
F) B) and D)

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The nurse is checking for capillary refill on a child in Bryant's traction.How long does it take for the toe to regain color if adequate perfusion is assessed?


A) 3 seconds
B) 4 seconds
C) 5 seconds
D) 6 seconds

E) B) and D)
F) None of the above

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A child hospitalized for treatment of osteomyelitis complains that he is tired of being sick and wants to know when the antibiotic protocol will end.How long will the nurse indicate that antibiotic therapy will probably last?


A) 2 weeks
B) 6 weeks
C) 2 months
D) 3 months

E) B) and C)
F) A) and C)

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Which intervention would be helpful in relieving morning discomfort associated with juvenile rheumatoid arthritis?


A) Wearing splints at night to prevent extension contractures
B) Applying moist heat packs upon awakening
C) Taking a warm tub bath the evening before
D) Sleeping with two pillows under the head

E) All of the above
F) B) and C)

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The nurse demonstrates which similarities among all traction devices? (Select all that apply. )


A) Pull the limb into extension.
B) Decrease muscle spasm.
C) Reduce pain.
D) Align two bone fragments.
E) Immobilize the limb.

F) All of the above
G) A) and E)

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What instruction would the nurse provide to an adolescent who has been fitted with a Milwaukee brace?


A) Wear the brace directly against the skin.
B) Wear the brace over regular clothing.
C) Wear the brace over a T-shirt 23 hours a day.
D) Remove the brace before sleeping.

E) None of the above
F) All of the above

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