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. While morphine can help to relieve anxiety and pain, it does not address the underlying cause of a hypercyanotic spell, which is the right-to-left shunting. The first step should be positioning the infant properly.
B. Although oxygen is helpful, it will not be as effective as using the knee-to-chest position to alleviate the underlying circulatory issue causing the hypercyanotic spell.
C. While comforting the child is important, a pacifier will not help in alleviating the hypercyanotic spell and is not the primary intervention in this emergency situation.
D. In a hypercyanotic spell, the priority is to increase systemic vascular resistance to decrease the right- to-left shunting of blood. The knee-to-chest position is effective for this, as it increases the resistance in the lower extremities, helping to improve oxygenation.

A. Administration of nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management B. Restriction of weight-bearing activities to prevent further damage C. Prescription of crutches for mobility assistance D. Application of ice packs to reduce inflammation E. Immediate referral to an orthopedic specialist for evaluation F. Application of a heat pack to relieve muscle tension

Correct Answer is ["B","C","E"]

Explanation

A. NSAIDs may help with pain management, but they are not the primary treatment for SCFE.
B. Restricting weight-bearing activities is crucial to prevent further damage and complications to the affected hip joint.
C. Crutches may be prescribed to assist with mobility and prevent weight-bearing on the affected hip.
D. Ice packs may reduce inflammation but are secondary to more important interventions like weight restriction and orthopedic referral.
E. Immediate referral to an orthopedic specialist is necessary for appropriate diagnosis and management, including possible surgery.
F. Heat packs are not recommended for SCFE because they could increase blood flow and swelling in the affected area.

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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 caring for a 6-month-old Infant with a diagnosis of Tetralogy of Fallot (TOF) who is experiencing a hypercyanotic spell. The Infant is lethargic and has a weak cry. What is the priority nursing action for this Infant?

Correct Answer is D

Explanation

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Explanation

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