Term
| List normal findings in a neurovascular assessment. |
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Definition
| Warm extremity, brisk capillary refill, free movement, normal sensation of the affecterd extremity and equal pulses |
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Term
| What is compartment syndrome? |
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Definition
| Damage to nerves and vasculature of an extemity due to compression |
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Term
| What are the s/s of compartment syndrome? |
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Definition
| Abnormal Neurovascular assessment: cold extremity, severe pain, inability to move the extremity, and poor capillary refill |
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Term
| Why are fractures of the epiphyseal plate a special concern? |
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Definition
| Fractures of the epiphyseal plate(growth plate) may affect the growth of the limb |
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Term
| How is skeletal traction applied? |
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Definition
| Is maintained by pins or wires applied to the distal fragment of the fracture |
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Term
| What discharge instructions should be included concerning a child with a spica cast? |
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Definition
| Check childs circulation. Keep cast dry. Do not place anything under case. Prevent cast soilage during toileting or diapering. Do not turn child using an abductor bar |
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Term
| What are the s/s of congenital dislocated hip in infants? |
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Definition
| unequal skin folds of the buttocks, ortolani sign, limited abduction of the affected hip, unequal leg lengths |
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Term
| How would the nurse conduct a scoliosis screening? |
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Definition
| Ask child to bend forward fromt he hips with arms hanging free. Examine the child for a curve in the spine, a rib hump, and hip asymmetry |
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Term
| What instructions should a child with scoliosis receive about the Milwarkee brace? |
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Definition
| The child should be instructed to wear the brace 23 hours/day; wear a t-shirt under brace;check skin for irritation; perform back and abdominal execrises; and modify clothing. the child should be encouraged to maintain normal activites as able |
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Term
| What care is indicated for aq child with juvenile rheumatoid arthritis? |
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Definition
| Prescribed exercise to maintain mobility; splinting of affected joints; and teaching about med management and s/e of drugs |
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