37. While a school-age child is on bedrest for Legg-Calvé-Perthes disease, a nurse's priority intervention would be to encourage the school-age child to:
37. While a school-age child is on bedrest for Legg-Calvé-Perthes disease, a nurse's priority intervention would be to encourage the school-age child to:
. Keep in contact with classmates.
. Learn to tolerate immobility.
. Learn to correctly apply the prescribed braces.
. Begin a hobby.
Test-Taking Tip
Relate achievement of the child's developmental task (industry) to the consequences of the disease process (bedrest). Choose an option that is something pleasurable and can be done at will.
Content Area: Child Health, Musculoskeletal; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Developmental Stages and Transitions
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Answer 1 is incorrect because, while keeping in contact with classmates is desirable, it will not assist the school-age child to achieve the developmental milestone of industry like beginning a hobby will. Answer 2 is incorrect because, while learning to tolerate immobility is desirable, it is an unrealistic expectation of a child in this age group. This is essentially a well child who must remain inactive for a prolonged period of time. Beginning a hobby will help the time pass more quickly. Answer 3 is incorrect because, while learning to correctly apply the prescribed braces is desirable, it will be accomplished after the period of bedrest. This is essentially a well child who must remain inactive for a prolonged period of time. Beginning a hobby will help the time pass more quickly. Answer 4 is correct because the school-age child is in the developmental stage of industry, and enforced long-term bedrest interferes with the achievement of this milestone. Assembling collections, building models, engaging in crafts, and the like will fulfill the child's need for a creative outlet and assist in achieving the desired milestone.