NUR 145

SAS 24

MANGHIHILOT, LEAFLOR ANN CRAVE

BSN 2

1.) D.
- An absent pulse to an extremity of the affected limb after a bone
fracture could mean that the child is developing or experiencing
compartment syndrome. This is an emergency situation, and the HCP
should be notified immediately.
2.) D.
- The nurse would maintain the correct amount of weight as prescribed,
ensure that the weights hang freely, check the ropes for fraying and
ensure that they are on the pulleys appropriately, monitor the
neurovascular status of the involved extremity, and monitor for signs
and symptoms of immobilization.
3.) B.
- Teaching about cast care is essential to prevent complications from the
cast. The parents need to be instructed not to use lotion or powders on
the skin around the cast edges or inside the cast. Lotions or powders can
become sticky or caked and cause skin irritation.
4.) D.
- A complication after surgical treatment of scoliosis is superior
mesenteric artery syndrome. This disorder is caused by mechanical
changes in the position of the child's abdominal contents, resulting from
lengthening of the child's body. The disorder results in a syndrome of
emesis and abdominal distention similar to that which occurs with
intestinal obstruction or paralytic ileus.
5.) C.
- The use of lotions or powders under a brace should be avoided because
they can become sticky and cake under the brace, causing irritation.
6.) B.
- The nurse should include information in the plan of care about
prevention of human immunodeficiency virus (HIV) for Men-who-have-
sex-with-men (MSM) individuals specifically are at risk.
7.) B.
- Conferring to WHO, the suggested indicator to evaluate the nutrition.
8.) A
- The most common complication of adolescent obesity is its persistence
into adulthood.
9.) B
- When assessing a 17-year-old male client with depression for suicide
risk, "Can you tell me what you think about suicide?" is the best
questions to ask.
10.) AB
- Assessment of suicidal risk in children and adolescents requires the
nurse to know A and B.