Which clinical manifestations should the nurse expect when ...

[joesmith1212]

Which clinical manifestations should the nurse expect when assessing a pediatric client who is diagnosed with Legg-Calv-Perthes disease? Select all that apply.
 
  1. Limited abduction of the affected hip
  2. Asymmetry of thigh fat folds
  3. Telescoping of the thigh
  4. Muscle weakness
  5. Atrophy of the muscles

Question 2

A nurse working in the nursery notes that a newborn is having frequent episodes of apnea lasting 10 to 15 seconds without any changes in color or decreases in heart rate. Which intervention would be the most appropriate?
 
  1. Continue to observe and call the healthcare provider if the apnea lasts longer than 20 seconds.
  2. Suction the mouth and nares.
  3. Call the healthcare provider immediately.
  4. Turn the newborn to the right side.

[Cheesycrackers]

Answer to Question 1

4, 5
Explanation:
1. Limited abduction of the affected hip is a clinical manifestation associated with clinical hip dysplasia, not Legg-Calv-Perthes disease.
2. Asymmetry of the thigh fat folds is a clinical manifestation associated with clinical hip dysplasia, not Legg-Calv-Perthes disease.
3. Telescoping of the thigh is a clinical manifestation associated with clinical hip dysplasia, not Legg-Calv-Perthes disease.
4. Muscle weakness is an expected clinical manifestation associated with Legg-Calv-Perthes disease.
5. Atrophy of the muscles is not an expected clinical manifestation associated with Legg-Calv-Perthes disease.

Answer to Question 2

1
Explanation:
1. Apnea lasting less than 20 seconds is a normal finding in newborns as long as there is no associated cyanosis or bradycardia, so continued observation is the most appropriate intervention.
2. There is no indication that suctioning is needed.
3. It is unnecessary to inform the healthcare provider, as apnea lasting 10 to 15 seconds is normal in a newborn.
4. Turning the baby is not necessary, as apnea lasting 10 to 15 seconds in a newborn is normal.