A nurse is caring for a client in an outpatient orthopedist's office.
The toddler is at risk for developing
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"A"}
The toddler is at risk for developing hearing loss as evidenced by the toddler’s bone biopsy results.
Rationale for correct answers:
Osteogenesis Imperfecta (OI): Confirmed by bone biopsy showing decreased trabecular and cortical bone volume. Classic features: recurrent fractures with minimal trauma, blue sclera, dentinogenesis imperfecta (grey teeth). OI can cause conductive hearing loss due to abnormalities in the bones of the middle ear.
Rationale for incorrect answers:
Hyperkalemia and hypercalcemia: Not supported by findings; there's no lab evidence or indication for this.
Compartment syndrome: No signs like severe pain, pallor, paresthesia, pulselessness, or pressure; capillary refill is normal (<3 seconds).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Increased respiratory rate:
An increased respiratory rate could indicate distress or that suctioning was ineffective.
B. Decreased oxygen saturation:
Decreased oxygen saturation would suggest hypoxia or airway obstruction.
C. Clear breath sounds:
Clear breath sounds indicate that airway secretions have been successfully removed and airflow is improved.
D. Increased oral secretions:
Suctioning should reduce secretions, not increase them.
Correct Answer is ["B","C","D"]
Explanation
A. "Schedule a time for your child to receive the pneumococcal vaccine within 2 weeks."
The pneumococcal vaccine is not indicated in the management of GABHS pharyngitis unless the child is due for it as part of routine immunization.
B. "Provide your child with their own towel for drying their face and hands at home."
GABHS is contagious. Using separate towels helps prevent transmission to other family members.
C. "Replace your child's toothbrush 24 hours after beginning antibiotic therapy."
To avoid reinfection, toothbrushes should be replaced 24 hours after starting antibiotics.
D. "Your child can return to school 24 hours after their first dose of antibiotics."
After 24 hours of antibiotic therapy and if afebrile, the child is no longer contagious and may return to school.
E. "Replace your child's orthodontic appliances prior to beginning antibiotic therapy."
There is no need to replace orthodontic appliances due to GABHS infection. Cleaning them is sufficient.
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