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ATI PROCTORED MED-SURG 2020/2021 LATEST UPDATED CORRECT QUESTIONS AND ANSWERS: DOWNLOAD TO SCORE AN A....

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ATI PROCTORED MED-SURG 2020/2021 LATEST UPDATED CORRECT QUESTIONS AND ANSWERS: DOWNLOAD TO SCORE AN A.... rtially joined, the fracture is termed incomplete. Green stick fractures are one kind of inco... mplete fracture, caused by incomplete ossification, common in children. Spiral fractures twist around the bone. You assist with the application of a full-body plaster cast to a child. The child immediately becomes diaphoretic and complains of being hot. Which nursing intervention would be indicated? a) Advise the child that this is to be expected. b) Observe the child for infection. c) Suggest removal of the cast to the orthopedist. d) Moisten the cast with cool water. a)Advise the child that this is to be expected. Explanation: Plaster becomes hot as it sets. This effect is reduced with newer plastic casts. This is a normal expectation about which to educate the child before the application of the cast. If discomfort continues, notify the provider. Infection would not present in this way with a cast application. Never moisten a case. An infant appears floppy, sucks poorly, and has weak respiratory effort. She is diagnosed with congenital myasthenia gravis. In explaining this condition to the infant's mother, which of the following should she mention as the cause of the condition? a) An inherited disorder involving faulty neurotransmitter transmission or reception b) Infection of the bone by Streptococcus pyogenes c) Degeneration of skeletal muscle fibers, possibly due to viral infection d) An autoimmune disorder involving the development of circulating antibodies against body cells a)An inherited disorder involving faulty neurotransmitter transmission or reception Explanation: With myasthenia gravis, there is interference in ACh processing, which leads to symptoms of progressive muscle weakness or inability to contract. Congenital myasthenia appears to be an inherited disorder that results in faulty ACh transmission or reception. Dermatomyositis occurs from degeneration of skeletal muscle fibers. The cause of the disorder is unknown, although either a viral infection or an autoimmune basis is suspected. The cause of juvenile arthritis is unknown, although it is thought to be an autoimmune process in which a child develops circulating antibodies (immunoglobulins) against body cells. Osteomyelitis is infection of the bone by Streptococcus pyogenes. The nurse caring for a patient in a body cast knows that immobility can cause contractures, loss of muscle tone, or fixation of joints. Which of the following nursing interdisciplinary interventions are recommended to help prevent these adverse conditions? a) Encourage child to stifle cough and take shallow breaths to prevent ineffective breathing patterns. [Show More]

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