A 10-year-old child is in the emergency department with a type IV ...

[ereecah]

A 10-year-old child is in the emergency department with a type IV femur fracture. Which intervention takes priority?
 
  A.
  Assessing the child for signs of maltreatment
  B.
  Ensuring that signed consent for surgery is on the chart
  C.
  Explaining the process of closed reduction with sedation
  D.
  Preparing the child for prolonged immobility in traction

Question 2

A child has been hospitalized with an acute-grade IV slipped femoral capital epiphysis (SFCE) and is on bedrest awaiting surgical correction. A new nurse places the following interventions on the child's care plan.
 
  Which intervention leads the experienced nurse to intervene?
  A.
  Consult child-life therapist for diversionary activities.
  B.
  Perform range-of-motion exercises to both lower extremities.
  C.
  Reinforce teaching on crutch-walking postoperatively.
  D.
  Teach child and family about non-weight-bearing status.

[xoxo123]

Answer to Question 1

ANS: B
A type IV fracture must be reduced surgically. The nurse ensures that signed consent is on the chart. Fractures in a 10-year-old are not as commonly caused by child abuse as by bicycle crashes or sporting injuries, so unless other signs of maltreatment are noticed, this would not be a priority. Because the child is not having a closed reduction, explanation of this process is not needed. The child will also not be immobilized in traction for a prolonged period.

Answer to Question 2

ANS: B
In acute SFCE, range-of-motion exercises are not done to the affected extremity because they may cause further damage. The other interventions are appropriate for a child with this diagnosis.

[ereecah]

Correct answers!

[xoxo123]

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