A 2-year-old male presents to clinic with his caregiver stating ...

[cherise1989]

A 2-year-old male presents to clinic with his caregiver stating that he slipped and fell running on the hardwood floor with the dog.. He cried immediately and refused to bear weight on his left side.
 
  X-rays were taken in the emergency room of his hip, knee, and ankle. The report was negative. The caregiver states that he is still uncomfortable and is not walking on it. Laboratory tests were done and came back negative for elevated ESR, CRP, and CBC. Upon physical examination, he has pain and immediately withdraws his leg on palpation of his anterior tibia shaft. He says ouchie and no hurt my leg.. Your knowledge and the exam would lead you to diagnose the child with which of the following conditions? 1. Juvenile Idiopathic Arthritis
   2. Toddler's Fracture
   3. Hip Dysplasia
   4. Sprained ankle

Question 2

An appropriate nursing intervention for a hospitalized autistic child would be to:
 
  a. Locate the child where he or she can watch all of the activity on the unit
  b. Use the child's chronological age as a guide for communication
  c. Keep all toys out of the child's room
  d. Organize care with as few disruptions to the routine as possible

[lcapri7]

Answer to Question 1

2
Feedback
1. A toddler's fracture is not typically visible on initial X-rays, but point tenderness on the tibia shaft and refusal to bear weight would be common in this age group following a witnessed injury.
2. A toddler's fracture is not typically visible on initial X-rays, but point tenderness on the tibia shaft and refusal to bear weight would be common in this age group following a witnessed injury.
3. The hip dysplasia would be notable with one hip higher than the other or a click when examined.
4. A toddler's fracture is not typically visible on initial X-rays, but point tenderness on the tibia shaft and refusal to bear weight would be common in this age group following a witnessed injury.

Answer to Question 2

D
During hospitalization of an autistic child, the nurse should attempt to provide a highly controlled environment with few distractions.

[cherise1989]

Excellent

[daiying98]

TYSM