A 4-year-old child is newly diagnosed with Legg-Calv-Perthes ...

[Bob-Dole]

A 4-year-old child is newly diagnosed with Legg-Calv-Perthes disease. Nursing considerations should include which action?
 
  a. Encouraging normal activity for as long as is possible
  b. Explaining the cause of the disease to the child and family
  c. Preparing the child and family for long-term, permanent disabilities
  d. Teaching the family the care and management of the corrective appliance

Question 2

The nurse is taking care of an adolescent diagnosed with kyphosis. Which describes this condition?
 
  a. Lateral curvature of the spine
  b. Immobility of the shoulder joint
  c. Exaggerated concave lumbar curvature of the spine
  d. Increased convex angulation in the curve of the thoracic spine

[sierrahalpin]

Answer to Question 1

ANS: D
The family needs to learn the purpose, function, application, and care of the corrective device and the importance of compliance to achieve the desired outcome. The initial therapy is rest and nonweight bearing, which helps reduce inflammation and restore motion. Legg-Calv-Perthes is a disease with an unknown etiology. A disturbance of circulation to the femoral capital epiphysis produces an ischemic aseptic necrosis of the femoral head. The disease is self-limiting, but the ultimate outcome of therapy depends on early and efficient therapy and the child's age at onset.

Answer to Question 2

ANS: D
Kyphosis is an abnormally increased convex angulation in the curve of the thoracic spine. Scoliosis is a complex spinal deformity usually involving lateral curvature, spinal rotation causing rib asymmetry, and thoracic hypokyphosis. Ankylosis is the immobility of a joint. Lordosis is an exaggerated concave lumbar curvature of the spine.