Janice, an adult orthopedic nurse, has been asked to float to the pediatric orthopedic floor for the next two weeks. It is important for Janice to remember that children have more complicated issues with fractures because:
1. Fractures can occur along an immature growth plate.
2. Children have a lower pain tolerance.
3. Children do not understand how to use crutches, and it takes more time to do discharge teaching.
4. A child's bone takes many more weeks to heal than an adult.
1
Feedback
1. Fractures in this area may take longer to heal or can form calcification, causing incorrect placement of the bone.
2. Pain is individualized.
3. Children can learn how to adapt to the use of crutches and should be given time to practice prior to discharge.
4. Because of the rapid growth of a child, the healing process usually does not take as long as an adult.
You might also like to view...
A new mother is concerned that her 3-month-old infant is receiving an adequate amount of calories per day. Which amount of calories should the nurse instruct the mother that the baby needs for growth and development?
a. 450 kcalories/day because of rapid growth b. 50 kcalorie/kg/day because of low energy expenditure c. Use few calories/day to maintain core body temperature d. Fewer calories per kilogram than adults because of high respiratory and heart rate
Of the following patients, which one is the best candidate to have his temperature taken orally?
a. A 27-year-old postoperative patient with an elevated temperature b. A teenage boy who has just returned from outside "for a smoke" c. An 87-year-old confused male suspected of hypothermia d. A 20-year-old male with a history of epilepsy
What is the purpose of adopting a weekly time map when addressing the issue of appropriate time management?
A) Making sure all your important responsibilities are attended too B) Allows you to see the 'Big Picture' regarding the week's events C) Presents the chance to allot time to all the things needing your attention D) Provides a visual timetable for the tasks in any particular week
A patient with bipolar disorder was hospitalized 7 days earlier and has been taking lithium 600 mg three times daily. Staff members observe increased agitation, pressured speech, poor personal hygiene, hyperactivity, and bizarre clothing
What is the nurse's best intervention? a. Educate the patient about the proper ways to perform personal hygiene and coordinate clothing. b. Continue to monitor and document the patient's speech patterns and motor activity. c. Ask the health care provider to prescribe an increased dose and frequency of lithium. d. Consider the need to check the lithium level. The patient may not be swallowing medications.