Author Question: A nurse is providing instructions to the parents of a 3-month-old with developmental dysplasia of ... (Read 73 times)

jilianpiloj · **on:** Jun 27, 2018

A nurse is providing instructions to the parents of a 3-month-old with developmental dysplasia of the hip who is being treated with a Pavlik harness.

Which statement by the parents demonstrates understanding of the instructions? Select all answers that apply. A) We need to adjust the straps so that they are snug but not too tight..
B) We should change her diaper without taking her out of the harness..
C) We need to check the area behind her knees for redness and irritation..
D) We need to send the harness to the dry cleaners to have it cleaned..
E) We need to call the doctor if she is not able to actively kick her legs..

Question 2

The nurse is providing care to a child with a long-leg hip spica cast. Which of the following would be a priority nursing diagnosis?

A) Risk for impaired skin integrity due to cast and location
B) Deficient knowledge related to cast care
C) Risk for delayed development related to immobility
D) Self-care deficit related to immobility

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

Answer to Question 1

B, C, E
Feedback:
Instructions related to use of a Pavlik harness include changing the child's diaper while in the harness; checking the areas behind the knees and diaper area for redness, irritation, or breakdown; and calling the doctor if the child is unable to actively kick her legs. The straps are not to be adjusted without checking with the physician or nurse practitioner first. The harness can be washed with mild detergent by hand and air dried. A hair dryer can be used to dry the harness but only if the air fluffing setting is used.

Answer to Question 2

A
Feedback:
Although deficient knowledge, risk for delayed development, and self-care deficit may be applicable, the child is at increased risk for skin breakdown due to the size of the cast and its location. In addition, the cast has an opening, which allows for elimination. Soiling of cast edges or leakage of urine or stool can lead to skin breakdown.