A nurse is teaching an adolescent client who has osteogenesis imperfecta about self-care. Which of the following statements made by the client shows that the nurse's teaching has been effective?

Physical therapy will help me build up enough strength to do gymnastics.

I should tell my teachers that I cannot participate in physical education class.

I can play sports as long as there is minimal contact with Other players."

My bones may break easier than other people's. so I need to take precautions.

Answer and Explanation

The Correct Answer is D

A. "Physical therapy will help me build up enough strength to do gymnastics." – Incorrect. Gymnastics is too high-impact for someone with brittle bones.

B. "I should tell my teachers that I cannot participate in physical education class." – Incorrect. Some low-impact activities may be beneficial, and complete avoidance of activity is not necessary.

C. "I can play sports as long as there is minimal contact with other players." – Incorrect. Even minor trauma can result in fractures, making sports risky.

D. "My bones may break easier than other people's, so I need to take precautions." – Correct. This demonstrates awareness of the condition and the importance of avoiding injury.

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Correct Answer is B

Explanation

A. "Use lotion or powder inside the cast to prevent itching." – Incorrect. Lotions and powders can increase moisture, leading to skin irritation or infection.

B. "Ensure the cast remains dry and clean at all times." – Correct. Moisture can weaken the cast and cause skin breakdown.

C. "Massage the baby’s foot to improve circulation while the cast is on." – Incorrect. Massage is not recommended as it may interfere with alignment.

D. "Remove the cast daily to allow the baby’s skin to breathe." – Incorrect. The cast must remain on continuously and is only removed by a healthcare provider.

A. resume playing on their soccer team next year. B. only participate in nonphysical activities from now on." C. participate in noncontact sports like swimming as they grow." D. engage in any sports once the incision heals.

Correct Answer is C

Explanation

A. Resume playing on their soccer team next year. – Incorrect. Contact sports pose a risk of injury to the remaining kidney and should be avoided.

B. Only participate in nonphysical activities from now on. – Incorrect. While high-impact sports should be avoided, moderate noncontact physical activity is encouraged for overall health.

C. Participate in noncontact sports like swimming as they grow. – Correct. Noncontact sports like swimming, running, or cycling are safe options.

D. Engage in any sports once the incision heals. – Incorrect. Some sports pose a risk of kidney injury and should be avoided.

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A nurse is teaching an adolescent client who has osteogenesis imperfecta about self-care. Which of the following statements made by the client shows that the nurse's teaching has been effective?

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What is an important aspect of parent teaching for the care of a baby undergoing serial casting for clubfoot?

Correct Answer is B

Explanation

A nurse is providing discharge teaching to the caregiver of a 3•year•old client with Wilms' tumor who is being discharged after a nephrectomy. Which of the following statements indicates the caregiver understands the activity restrictions now that the client has one kidney? "My child can:

Correct Answer is C

Explanation

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