Author Question: A pediatric nurse is caring for a 1-year-old child who is in a spica cast. The nurse teaches the ... (Read 89 times)

ssal · **on:** Jun 28, 2018

A pediatric nurse is caring for a 1-year-old child who is in a spica cast. The nurse teaches the parents that modifications need to be made for this child. Which modification does the nurse teach?

A.
Using a baby bath with shallow water to clean the child
B.
Using a car seat with sturdy sides to transport the child
C.
Using a sitting position on the floor to feed the child
D.
Using a wagon instead of a stroller to move the child

Question 2

An adolescent patient is prescribed a brace to treat scoliosis. Which assessment finding by the nurse indicates that outcomes for a priority nursing diagnosis have been met by the patient?

A.
Is able to explain the rationale for the bracing
B.
No redness or breakdown seen under the brace
C.
Participates in social activities with friends
D.
Wears brace continuously for 20 hours each day

kaylee05 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Placing the child in the prone position on the floor makes it easier for feeding the child. Mobilizing a child in a wagon is a good modification for a stroller while the child is in the spica cast. Toddler car seats that do not have sides are also a good modification for a child in a spica cast. The parents will need to modify the bath by giving the child a sponge bath.

Answer to Question 2

ANS: B
The skin under the brace worn to treat scoliosis needs to be assessed for breakdown, especially when the brace is new. An important diagnosis would be risk for impaired skin integrity. Seeing no skin breakdown under the brace indicates the outcomes have been met for this goal. Being able to explain the rationale for the bracing and participating in social activities also indicate that outcomes for appropriate diagnoses have been met, but these do not take priority over a possible injury to the child. The brace needs to be worn continuously for 23 hours each day.