Author Question: A pediatric nurse is assisting with the care of a child diagnosed with a fractured femur. What type ... (Read 131 times)

leilurhhh · **on:** Jun 28, 2018

A pediatric nurse is assisting with the care of a child diagnosed with a fractured femur. What type of fracture would be the most likely to alert the nurse to the possibility of physical abuse?

a. Stress fracture
b. Compound fracture
c. Spiral fracture
d. Greenstick fracture

Question 2

Which nursing diagnosis would be a priority when preparing a plan of care for a child in a leg cast?

a. Risk for altered peripheral tissue perfusion
b. Risk for altered urine elimination
c. Knowledge deficit
d. Risk for infection

steff9894 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
A spiral fracture of the femur is caused by a forceful twisting motion. When the history of an injury does not correlate with x-ray findings, child abuse should be suspected because spiral fractures can be the result of manual twisting of the extremity.

Answer to Question 2

ANS: A
Casting can lead to compromised tissue perfusion caused by increased pressure from edema or swelling pressing on the tissues. Neurovascular checks are an assessment priority.