The nurse is implementing a teaching plan for a 4-month-old child ...

[swpotter12]

The nurse is implementing a teaching plan for a 4-month-old child who has been diagnosed with developmental dysplasia of the hip (DDH). The child will be placed in the Pavlik harness.
 
  Which of the following statements by the family would indicate that they understand the care of their child while placed in the Pavlik harness? 1. I know that the harness must be worn continuously.
  2. I will bring my child back to the orthopedic office in a month so the straps can be checked.
  3. I realize that I will also need to put two diapers on my child so that the harness does not get soiled.
  4. I will watch for any redness or skin irritation where the straps are applied and call the doctor if there is any irritation.

Question 2

The nurse is providing directions to a client about how to test a stool for occult blood. The nurse cautions that the presence of which of the following could cause a false-negative result?
 
  1. Iodine
  2. Colchicine
  3. Ascorbic acid
  4. Acetylsalicylic acid

[macmac]

Answer to Question 1

4

Rationale: If stabilization of the hip is required, a cast is initially applied. This is kept in place for 3 to 6 months until the hip is stabilized. After this is completed, and if further treatment is required, a Pavlik harness is the treatment of choice next. A Pavlik harness is a removable ab-duction brace. This is a procedure that requires the brace be checked every 1 to 2 weeks for ad-justment of the straps. The use of double diapering is not recommended for DDH because of the possibility of hip extension. Because there are straps applied to the child's skin, it is important to check the skin of the child frequently.

Answer to Question 2

3

Rationale: Ascorbic acid can interfere with results of occult blood testing, yielding a false-negative result. Colchicine and iodine can cause false-positive results. Acetylsalicylic acid would have no effect or could cause a positive result by inducing bleeding from the gastrointes-tinal (GI) tract.