A child has been admitted to the emergency room after sliding ...

[jman1234]

A child has been admitted to the emergency room after sliding into third base with his right leg during a baseball game. An X-ray has confirmed a broken right tibia. The child complains of severe pain in his right leg.
 
  Upon assessment, the nurse would anticipate seeing: 1. Ecchymosis of the left leg.
   2. Ecchymosis to the right leg.
   3. A bone puncturing the skin.
   4. All of the above would be possible due to this injury.

Question 2

A nurse is attempting to educate a 10-year-old girl in the use of a peak flow meter. Identify the best way to explain the test to the child.
 
  1. The purpose of the test is to see how hard you breathe..
   2. The purpose of the test is for you to monitor what is normal and abnormal for you. Then your parents can help with your medication on days when you are not measuring in your normal ranges..
   3: We are measuring how well you can blow birthday candles out..
   4. The meter will help monitor when you are healthy and when you are becoming ill..

[tashiedavis420]

Answer to Question 1

2
Feedback
1. Injury occurred to the right leg, not the left.
2. The ecchymosis may develop quickly with a fracture.
3. An X-ray would not be needed to confirm a fracture if the bone was puncturing the skin.
4. Ecchymosis occurs with the fracture.

Answer to Question 2

4
Feedback
1. The description is not accurate, and a 10 year old is able to comprehend the reason for use of a peak flow meter.
2. The description of normal and abnormal can cause concern for the child. It is important to explain that the peak flow meter is a measurement of health.
3. This description can be used for a younger child. A 10 year old is able to comprehend the use of the peak flow meter.
4. The peak flow meter is a monitor used to indicate when the child is breathing easily and when illness may be starting.