Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A ten-year old patient with a leg length discrepancy is being discharged with an Ilizarov external fixator (IEF). Which of the following instructions should the nurse include in the discharge teaching?
  1. The importance of not touching the pins and keeping the pins free of any moisture
  2. The necessity of returning to the physician for all distractions to be done
  3. Methods to manage bed rest at home until the IEF is removed
  4. Daily observations of the color and movement in both lower extremities
Explanation
Answer - D - The instruction that the nurse should include in the discharge teaching is daily observations of the color and movement in both lower extremities. Capillary blood flow to the transacted area is essential for proper bone growth. Circulation must be checked daily.
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