A nurse is caring for a child with Osteogenesis Imperfecta type 3. Which of the following interventions should the nurse implement for this child? SELECT ALL THAT APPLY

Administer bisphosphonate medications to increase bone density.

Encourage the use of assistive devices such as crutches or wheelchairs.

Apply heat to painful areas to relieve discomfort.

Encourage resistance band exercises

Provide a safe environment to prevent fractures.

Answer and Explanation

Correct Answer : A,B,E

A.   Bisphosphonates help increase bone density and reduce the frequency of fractures in children with osteogenesis imperfecta.
B.   Assistive devices like crutches or wheelchairs help reduce the risk of fractures by providing support and reducing the load on fragile bones.
C.   Heat is not a standard intervention for osteogenesis imperfecta. The child’s bones are fragile, and
applying heat may not be beneficial and could cause further injury.
D.   Resistance exercises are not recommended for osteogenesis imperfecta, as they could lead to fractures due to the fragile nature of the bones.
E.   Ensuring a safe environment to prevent falls and fractures is essential in managing osteogenesis imperfecta.

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Correct Answer is D

Explanation

A. Bradycardia is not a typical finding with PDA.
B. Cyanosis is more likely to occur with severe heart defects or in situations where there is a right-to-left shunt, which is not typical of PDA.
C. Weak pulses are not typical of PDA; instead, bounding pulses may be present.
D. A widened pulse pressure (a significant difference between systolic and diastolic blood pressure) is commonly seen in large PDA due to the continuous blood flow from the aorta to the pulmonary arteries.

A. Computed tomography scan (CT scan) B. Electroencephalogram (EEG) C. Analysis of Cerebral Spinal Fluid (CSF) D. Blood Culture & Sensitivity (C&S)

Correct Answer is C

Explanation

A. A CT scan is not typically used to assess febrile seizures or to diagnose meningitis in this context. CSF analysis is more relevant.
B. While an EEG could be helpful for diagnosing seizures, it is not the priority in this case where an infection (meningitis) is suspected.
C. As mentioned in question 36, CSF analysis is essential in diagnosing meningitis, especially in infants presenting with seizures and fever. The nurse would anticipate this as the most appropriate diagnostic test to confirm meningitis or other CNS infections.
D. Blood cultures are helpful for identifying systemic infection but are not the first step in diagnosing meningitis, where CSF analysis is more specific.

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A nurse is caring for a child with Osteogenesis Imperfecta type 3. Which of the following interventions should the nurse implement for this child? SELECT ALL THAT APPLY

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?

Correct Answer is D

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Correct Answer is C

Explanation

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