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","C","D"]

Explanation

A. Right atrial enlargement occurs due to the increased blood flow from left to right shunting, which can cause volume overload in the right atrium.
B. Left atrial enlargement is typically seen in conditions that cause increased left atrial pressure, such as mitral valve disease or left-sided heart failure, not in ASD.
C. Shortness of breath is a common symptom due to increased blood flow to the lungs, which can lead to pulmonary congestion.
D. Pulmonary hypertension may develop over time due to increased blood flow and pressure in the pulmonary circulation from the left-to-right shunting of blood.
E. Pulmonary hypotension is not associated with ASD. The condition typically leads to increased pressure in the pulmonary arteries, not decreased pressure

A. "All recently used clothing, bedding, and towels must be washed in warm water." B. "Toys that can't be dry cleaned or washed must be thrown out." C. "I will treat all the family members to be on the safe side." D. “We need to comb through our child's hair with a fine-toothed comb to remove the dead lice and nits after using the medicated shampoo."

Correct Answer is D

Explanation

A. This is also correct, but the focus of the question is on the treatment of the child's hair itself.
B. Non-washable toys should be bagged for 2 weeks, not thrown out.
C. While treating all family members is common, only those with active infestations need treatment.
D. This is the correct action after using a medicated shampoo for lice treatment. A fine-toothed comb should be used to remove lice and nits (eggs) from the child's hair.

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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

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","C","D"]

Explanation

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Correct Answer is D

Explanation

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