A student nurse is performing a musculoskeletal assessment on a 2 ...

[danielfitts88]

A student nurse is performing a musculoskeletal assessment on a 2 year old. When doing the assessment, it is important for the student nurse to start with:
 
  1. Palpating the bony prominences of the body.
   2. Participating in a range of motion exercises.
   3. Participating in weight-bearing exercises.
   4. Inspecting the body visually.

Question 2

A child's ABG results are: pH: 7.14 pCO2: 24.6 HCO3: 8.0 The nurse interprets these results as:
 
  1. Normal ABG.
   2. Partially Compensated Metabolic Acidosis.
   3. Uncompensated Metabolic Acidosis.
   4. Uncompensated Respiratory Acidosis.

[jsm54321]

Answer to Question 1

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1. Palpation should be done last because it is the most invasive for the child.
2. Range of motion should be done after inspection.
3. Participation should occur after inspection.
4. Starting with the least invasive assessment first will allow the nurse to build trust with the child.

Answer to Question 2

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1. The pH is acidotic, the CO2 is alkalotic, and the HCO3 is acidotic. Because the pH and the HCO3 are acidotic, it causes the Metabolic Acidosis. Compensation occurs because the pH and the CO2 go in the opposite direction, and the pH is not in the normal range to cause the partial.
2. The pH is acidotic, the CO2 is alkalotic, and the HCO3 is acidotic. Because the pH and the HCO3 are acidotic, it causes the Metabolic Acidosis. Compensation occurs because the pH and the CO2 go in the opposite direction, and the pH is not in the normal range to cause the partial.
3. Compensation occurs because the pH and the CO2 go in the opposite direction, and the pH is not in the normal range to cause the partial.
4. Because the pH and the HCO3 are acidotic, it causes the Metabolic Acidosis.