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A nurse is caring for a client in an outpatient orthopedist's office.

Exhibits
Complete the following sentence by using the lists of options.

The toddler is at risk for developing 

as evidenced by the toddler's .
Answer and Explanation

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).


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Related Questions

Correct Answer is D

Explanation

A. Decreased respiratory rate:

Respiratory rate may increase due to fluid overload and acidosis, but decreased rate is not typical.

B. Polyuria:

In the initial phase of AKI, oliguria (low urine output) is common, not polyuria.

C. Hyperactivity:

Hyperactivity is unrelated to AKI; lethargy and confusion are more likely.

D. Edema:

Edema occurs due to fluid retention from decreased urine output in acute kidney injury (AKI).

Correct Answer is B

Explanation

A. The infant does not exhibit fear of strangers:

Stranger anxiety typically develops around 6–8 months, so not showing it at exactly 6 months is not immediately concerning.

B. The infant does not roll over from their abdomen to their back:

By 6 months, an infant should be able to roll over. Failure to achieve this milestone suggests a delay in gross motor development and needs evaluation.

C. The infant does not pick up objects from the floor with their fingers:

Fine motor skills such as using fingers to pick up small objects (pincer grasp) develop around 8–9 months.

D. The infant does not sit on the floor unsupported:

Sitting unsupported typically develops between 6–8 months. At 6 months, it may not be fully achieved yet, so it’s not necessarily abnormal.

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