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 A

Explanation

A. Increased somnolence or lethargy is a common sign of increased intracranial pressure in infants.
B. Increased heart rate may initially occur but can later slow down as intracranial pressure rises, leading to bradycardia.
C. Depressed fontanels are indicative of dehydration, not increased intracranial pressure. Bulging fontanels are more indicative of increased intracranial pressure.
D. Brisk pupillary reaction to light is normal; a sluggish or absent reaction could indicate increased intracranial pressure.

A. Avoiding any oral feedings for the first 24 hours to prevent aspiration B. Applying direct pressure to the surgical site if bleeding occurs. C. Frequent diaper changes and keeping the incision site clean and dry D. Allowing the infant to lie flat on their back to promote spinal alignment

Correct Answer is C

Explanation

A. Avoiding oral feedings may not be necessary unless there are specific complications. The focus should be on preventing aspiration, but not necessarily withholding feedings.
B. Direct pressure should not be applied to the surgical site unless directed by a provider, as this could cause further complications.
C. Frequent diaper changes and keeping the incision site clean and dry is essential to prevent infection and protect the surgical site.
D. The infant should be positioned according to the provider's orders to avoid pressure on the surgical site and spinal cord, but lying flat may not always be necessary.

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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

Nursing Test Bank

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