& Pediatric Nursing. Galen College
**1. What is a fat embolism and how is it treated?** ANS Fracture of long
bones, crush injuries, multiple fractures. Classic triad: hypoxemia,
neurological compromise, petechial rash. Treatment: support respiratory
system (O2), correct homeostatic disturbances (BP, IVF).
**2. What is nursing management for DDH?** ANS Recognize it early,
educate the parents, maintain skin integrity in the cast, maintain 180 degrees
in spica cast, watch growth and development.
**3. What is osteoarthritis?** ANS Degenerative joint disease due to wear
and tear or aging, nodules inside of the joint.
**4. What is the Nurse Practice Act?** ANS In each state, statutory law
directs entry into nursing practice, defines the scope of practice, and
establishes disciplinary procedures. State boards of nursing oversee this
statutory law.
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,**5. What is nursing management for skin traction?** ANS 6 P’s, assess
traction mechanics, never lift weights unless with order or provider present,
promote exercise within limits of traction, medicate for pain, monitor for
complications.
**6. What is a tort?** ANS A wrongful act or an infringement of a right
(other than under contract) leading to civil legal liability.
**7. What are clinical manifestations of slipped capital femoral epiphysis?**
ANS Hip pain, maybe into the knee, limp, decreased ROM.
**8. What is impetigo?** ANS Contagious bacterial infection marked by
clusters of small blisters, treated with Bactroban or systemic antibiotics, stay
home until blistered over.
**9. What are complications of bone cancer?** ANS Hypercalcemia,
fractures, decreased mobility.
**10. What are signs and symptoms of RA?** ANS Pain/swelling in the joint,
weight loss, stiffness, fatigue, lymph node enlargement.
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, **11. What is the purpose of the board of nursing?** ANS Protect the
patients, hold nurses to a standard of practice so that the public is protected.
**12. What is nursing management for JIA?** ANS Keep them moving.
**13. What are nursing interventions for casts?** ANS Maintain alignment,
skin integrity, monitor for complications, monitor neurovascular assessment,
teach exercise to regain strength and function.
**14. What is the difference between pain and stiffness?** ANS Pain: after
overuse (OA). Stiffness: in the morning (OA), must rest with pain, walk out
the stiffness with OA.
**15. What is complex regional pain syndrome?** ANS Brain registers touch
or everything as pain. S/S: severe burning pain, local edema, stiffness,
vasomotor skin changes, trophic changes.
**16. What is the difference between rheumatoid arthritis and
osteoarthritis?** ANS RA: nodules close to the joint, systemic effects,
autoimmune, periods of remission. OA: nodules within the joint, nonsystemic
effects, progressive, no periods of remission.
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