Author Question: During a 14-year-old adolescent's physical examination, the nurse identifies that he plays soccer ... (Read 89 times)

mia · **on:** Jun 27, 2018

During a 14-year-old adolescent's physical examination, the nurse identifies that he plays soccer and football and is complaining of knee pain when he rises from a squatting position. The nurse should suspect:

a. Legg-Calv-Perthes disease.
b. osteomyelitis.
c. Duchenne muscular dystrophy.
d. Osgood-Schlatter disease.

Question 2

Which is an effective technique for communicating with toddlers?

a. Have the toddler make up a story from a picture.
b. Involve the toddler in dramatic play with dress-up clothing.
c. Repeatedly read familiar stories to the child.
d. Ask the toddler to draw pictures of his fears.

meow1234 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
Knee pain and tenderness aggravated by activity that requires kneeling, running, climbing stairs, and rising from a squatting position are highly significant for Osgood-Schlatter disease. The etiology is believed to be related to repetitive stress from sports-related activities combined with overuse of immature muscles and tendons. Pain on activity that decreases with rest is indicative of Legg-Calv-Perthes disease. Preexisting pain, favoring the affected limb, erythema, and tenderness are associated with osteomyelitis. Duchenne muscular dystrophy presents with progressive generalized weakness and muscle wasting.

Answer to Question 2

C
Ritualism is a characteristic of the toddler period. By repeating familiar stories and other rituals, the toddler feels a sense of control, which facilitates communication. Most toddlers do not have the vocabulary to make up stories. Dramatic play is associated with older children. Toddlers probably are not capable of drawing or verbally articulating their fears.