The nurse is caring for a 4-year-old child immobilized by a ...

[Medesa]

The nurse is caring for a 4-year-old child immobilized by a fractured hip. Which complications should the nurse monitor?
 
  a. Hypocalcemia
  b. Decreased metabolic rate
  c. Positive nitrogen balance
  d. Increased production of stress hormones

Question 2

The community health nurse is teaching parents about prevention of the spread and reoccurrence of pediculosis (head lice). Which should the nurse include in the teaching session (Select all that apply)?
 
  a. Dry-clean nonwashable items.
  b. Spray the environment with an insecticide.
  c. Seal nonwashable items in a plastic bag for 5 days.
  d. Boil combs and brushes for 10 minutes.
  e. Discourage sharing of personal items.

[dmurph1496]

Answer to Question 1

ANS: B
Immobilization causes a decreased metabolic rate with slowing of all systems and a decreased food intake, leads to hypercalcemia, and causes a negative nitrogen balance secondary to muscle atrophy. A decreased production of stress hormones occurs with decreased physical and emotional coping capacity.

Answer to Question 2

ANS: A, D, E
To prevent the spread and reoccurrence of pediculosis, the nurse should teach the parents to dry-clean nonwashable items; boil combs and brushes for 10 minutes or soak for 1 hour in a pediculicide; and discourage the sharing of personal items, such as combs, hats, scarves and other headgear. Spraying with insecticide is not recommended because of the danger to children and animals. Nonwashable items should be sealed for 14 days in a plastic bag.

[Medesa]

TYSM

[CAPTAINAMERICA]

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