A 4-year-old child is placed in Buck extension traction for ...

[nmorano1]

A 4-year-old child is placed in Buck extension traction for Legg-Calv-Perthes disease. He is crying with pain as the nurse assesses the skin of his right foot and sees that it is pale with an absence of pulse. What should the nurse do first?
 
  a. Reposition the child and notify the practitioner.
  b. Notify the practitioner of the changes noted.
  c. Give the child medication to relieve the pain.
  d. Chart the observations and check the extremity again in 15 minutes.

Question 2

The nurse is teaching the girls' varsity sports teams about the female athlete triad. What is essential information to include?
 
  a. They should take low to moderate calcium to avoid hypercalcemia.
  b. They have strong bones because of the athletic training.
  c. Pregnancy can occur in the absence of menstruation.
  d. A diet high in carbohydrates accommodates increased training.

[nhea]

Answer to Question 1

ANS: B
The absence of a pulse and change in color of the foot must be reported immediately for evaluation by the practitioner. This is an emergency condition. Pain medication should be given after the practitioner is notified. The findings should be documented with ongoing assessment.

Answer to Question 2

ANS: C
Sexually active teenagers, regardless of menstrual status, need to consider contraceptive precautions. Increased calcium (1500 mg) is recommended for amenorrheic athletes. The decreased estrogen in girls with the female athlete triad, coupled with potentially inadequate diet, leads to osteoporosis. Diets high in protein and calories are necessary to avoid potentially long-term consequences of intensive, prolonged exercise programs in pubertal girls.

[nmorano1]

TYSM

[bulacsom]

Excellent