Page 1144 - Saunders Comprehensive Review For NCLEX-RN

be used to dry the cast.”
396. The parents of a child with juvenile idiopathic arthritis call the clinic nurse
because the child is experiencing a painful exacerbation of the disease. The
parents ask the nurse if the child can perform range-of-motion exercises at
this time. The nurse should make which response?
1. “Avoid all exercise during painful periods.”
2. “Range-of-motion exercises must be performed every day.”
3. “Have the child perform simple isometric exercises during this
time.”
4. “Administer additional pain medication before performing range-
of-motion exercises.”
397. A child who has undergone spinal fusion for scoliosis complains of
abdominal discomfort and begins to have episodes of vomiting. On further
assessment, the nurse notes abdominal distention. On the basis of these
findings, the nurse should take which action?
1. Administer an antiemetic.
2. Increase the intravenous fluids.
3. Place the child in a Sims’ position.
4. Notify the primary health care provider (PHCP).
398. The nurse is providing instructions to the parents of a child with scoliosis
regarding the use of a brace. Which statement by the parents indicates a need
for further instruction?
1. “I will encourage my child to perform prescribed exercises.”
2. “I will have my child wear soft fabric clothing under the brace.”
3. “I should apply lotion under the brace to prevent skin
breakdown.”
4. “I should avoid the use of powder because it will cake under the
brace.”
399. The nurse is assisting a primary health care provider (PHCP) examine a 3-
week-old infant with developmental dysplasia of the hip. What test or sign
should the nurse expect the PHCP to assess?
1. Babinski’s sign
2. The Moro reflex
3. Ortolani’s maneuver
4. The palmar-plantar grasp
400. A 1-month-old infant is seen in a clinic and is diagnosed with developmental
dysplasia of the hip. On assessment, the nurse understands that which
finding should be noted in this condition?
1. Limited range of motion in the affected hip
2. An apparent lengthened femur on the affected side
3. Asymmetrical adduction of the affected hip when the infant is
placed supine with the knees and hips flexed
4. Symmetry of the gluteal skinfolds when the infant is placed prone
and the legs are extended against the examining table
401. Parents bring their 2-week-old infant to a clinic for treatment after a
diagnosis of clubfoot made at birth. Which statement by the parents indicates
a need for further teaching regarding this disorder?
1. “Treatment needs to be started as soon as possible.”

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