The nurse notes a child sitting in reverse tailor position during a well-child examination. The nurse would correctly choose which of the following actions in this situation?
1. Notify the healthcare provider so that X-rays can be obtained.
2. Explain to the parent that this can cause joint stress.
3. Continue with the examination.
4. Assess the child for back problems.
2
Rationale 1: The reverse tailor position should be discouraged as a result of the stresses it places on the joints of a growing child. The preferred sitting position of the child does not, however, indicate the presence of deformities that would require diagnostic testing.
Rationale 2: The reverse tailor position stresses the hip, knee, and ankle joints of the growing child. Children should be encouraged to try other sitting positions to prevent these problems, and teaching the parent and the child regarding this is best done at the time the position is noted.
Rationale 3: The reverse tailor position places stress on the joints of the growing child. The best time for the nurse to provide education is at the time of discovery. This education should be performed prior to completing of the full assessment.
Rationale 4: The reverse tailor position stresses the hip, knee, and ankle joints of the growing child. Back problems are not directly associated with the reverse tailor position.
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1. Witch hazel
2. Comfrey
3. Skunk oil
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