Chapter 24: The Child with a
Musculoskeletal Condition
In planning teaching to parents of a child with Legg-Calvé-Perthes disease
about the long-term effects of this disease, the nurse would include that:
a. there are no long-term effects.
b. the disease is self-limited and requires no long-term treatment.
c. degenerative arthritis may develop later in life.
d. there is risk of osteogenic sarcoma in adulthood. - correct answer ✔ANS:
C
Marked distortion of the head of the femur may lead to an imperfect joint or to
degenerative arthritis of the hip later in life.
The nurse caring for a child in Buck's skin traction will keep the:
a. child in high-Fowler's position.
b. child pulled up in bed.
c. child's heel on the bed surface.
d. child's feet against the foot of the bed. - correct answer ✔ANS: B
Buck's traction is a type of skin traction that relies on the child's weight as
counterbalance The child must be kept with head elevated no more than 20
degrees, pulled up in bed, and the feet should not touch the bed surface or
the foot of the bed.
When caring for a child in Buck's extension, the nurse would include:
a. positioning the child with hips flexed 90 degrees at all times.
, b. keeping the weights in contact with the floor.
c. checking for skin irritation from traction equipment.
d. releasing the weights on a schedule. - correct answer ✔ANS: C
The skin exposed to frequent friction may break down
The nurse reviewing the characteristics of Ewing's sarcoma would point out
that:
a. amputation is the accepted treatment.
b. the disease is sensitive to radiation and chemotherapy.
c. metastasis is rare.
d. the disease is more prevalent among toddlers and preschoolers. - correct
answer ✔ANS: B
Ewing's sarcoma is sensitive to radiation therapy and chemotherapy.
Amputation of the affected extremity is not recommended. This cancer occurs
in school-age children and does metastasize.
The nurse caring for a child with Duchenne's muscular dystrophy notes a
characteristic manifestation, which is that the child:
a. ambulates by holding onto furniture.
b. exhibits atrophy of the calf muscles.
c. falls frequently and is clumsy.
d. has delayed fine-motor development. - correct answer ✔ANS: C
Frequent falling and clumsiness are clinical manifestations of Duchenne's
muscular dystrophy.
Musculoskeletal Condition
In planning teaching to parents of a child with Legg-Calvé-Perthes disease
about the long-term effects of this disease, the nurse would include that:
a. there are no long-term effects.
b. the disease is self-limited and requires no long-term treatment.
c. degenerative arthritis may develop later in life.
d. there is risk of osteogenic sarcoma in adulthood. - correct answer ✔ANS:
C
Marked distortion of the head of the femur may lead to an imperfect joint or to
degenerative arthritis of the hip later in life.
The nurse caring for a child in Buck's skin traction will keep the:
a. child in high-Fowler's position.
b. child pulled up in bed.
c. child's heel on the bed surface.
d. child's feet against the foot of the bed. - correct answer ✔ANS: B
Buck's traction is a type of skin traction that relies on the child's weight as
counterbalance The child must be kept with head elevated no more than 20
degrees, pulled up in bed, and the feet should not touch the bed surface or
the foot of the bed.
When caring for a child in Buck's extension, the nurse would include:
a. positioning the child with hips flexed 90 degrees at all times.
, b. keeping the weights in contact with the floor.
c. checking for skin irritation from traction equipment.
d. releasing the weights on a schedule. - correct answer ✔ANS: C
The skin exposed to frequent friction may break down
The nurse reviewing the characteristics of Ewing's sarcoma would point out
that:
a. amputation is the accepted treatment.
b. the disease is sensitive to radiation and chemotherapy.
c. metastasis is rare.
d. the disease is more prevalent among toddlers and preschoolers. - correct
answer ✔ANS: B
Ewing's sarcoma is sensitive to radiation therapy and chemotherapy.
Amputation of the affected extremity is not recommended. This cancer occurs
in school-age children and does metastasize.
The nurse caring for a child with Duchenne's muscular dystrophy notes a
characteristic manifestation, which is that the child:
a. ambulates by holding onto furniture.
b. exhibits atrophy of the calf muscles.
c. falls frequently and is clumsy.
d. has delayed fine-motor development. - correct answer ✔ANS: C
Frequent falling and clumsiness are clinical manifestations of Duchenne's
muscular dystrophy.
