(^298) Pediatric Nursing Demystified
- The health-care provider diagnosed a child with Legg-Calvé-Perthes disease.
The parents expressed their concern to you that their child’s leg will be ampu-
tated. How should you respond?
a. It is too soon to determine if amputation is necessary.
b. No amputation is necessary because the child will make a full recovery once the
disease runs its course.
c. The health-care provider is the best person to talk to you about amputation.
d. Not all children who have the disease require amputation. - The parents of a child who has been diagnosed with juvenile rheumatoid arthri-
tis calls you complaining that there is no improvement with their son’s pain after
a week of taking naproxen. How would you respond?
a. I’ll mention this to your health-care provider.
b. You should switch to ibuprofen.
c. It can take 3 weeks before you see pain relief when taking naproxen.
d. Naproxen takes 2 weeks to work in children. - A child of short stature for his age is taken to the Emergency Department for a
fractured arm. This is the second fracture that the child received this year. Both
the child and parents say they have no idea how the fracture occurred. You
notice that the child has a bluish sclera. What do you suspect?
a. Greenstick fracture
b. Child abuse
c. Osteogenesis imperfecta
d. Torticollis - An 8-year-old Little Leaguer was taken to the Emergency Department in January
complaining that he was awakened by pain above his knee. There is slight
swelling at the site. What would you suspect?
a. A sports injury
b. Talipes
c. Juvenile rheumatoid arthritis
d. Ewing sarcoma - A 10-year-old is brought to the Emergency Department following an automo-
bile accident. You notice a contusion on her outer left thigh. What should
you do?
a. Bring the crash cart to the bedside.
b. Encircle the area of the contusion and write the date and time outside the contu-
sion so you can assess if bleeding has stopped or is continuing.
c. Suspect child abuse.
d. Notify the health-care provider immediately.