The parent of a 4-year-old patient with bilateral leg splints calls the office nurse and reports that the child is "more restless than usual, and I've found the splint straps partially loosened."

Question

Which response by the nurse is most appropriate? a. "Orthotic devices provide needed sup-port.".
b. "Manufacturers use flexible materials for comfort of the splints.".
c. "Check the skin around the splints.".
d. "Bring the child in for us to see either to-day or tomorrow.".

Answer 1

D
Restlessness can indicate pain or discomfort, and, because children grow, the splint might need adjusting. The child's growth and development necessitate adjusting the splint to accommodate changes in anatomy and increased weight. As the child outgrows the splint, the risks of impaired tissue integrity, patient discomfort, ineffective therapy, and injury increase. If the child is loo-sening the splint straps, this may indicate discomfort. The parent is not knowledgeable regarding all aspects to be checked; the child needs to be checked by a medical professional. Manufacturers make splints to withstand daily activity over time; they use sturdy materials such as leather, steel, and strong, molded plastic. Accordingly the nurse teaches the caregivers to observe patient skin for redness and examine the splint for integrity.