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 C

Explanation

A. A CT scan is typically used to evaluate structural issues in the brain, such as tumors or bleeding, rather than infections like meningitis.
B. An EEG is used to diagnose epilepsy or other seizure disorders, but it would not help in diagnosing the cause of a febrile seizure related to a possible infection.
C. In a 5-month-old with a seizure and high fever, meningitis is a critical consideration. The analysis of CSF through a lumbar puncture is required to confirm or rule out meningitis. Fever with a seizure in infants may indicate an infection such as bacterial or viral meningitis, making CSF analysis essential.
D. While blood cultures can help identify an infection, CSF analysis is more specific in cases of suspected meningitis, as it directly tests for infection in the central nervous system.

A. Pyloric Stenosis. B. Left Ventricular Hypertrophy. (LVH) C. Thickened Right Ventricular Wall D. Overriding Aorta. E. Ventricular Septal Defect. (MSD) F. Pulmonary Stenosis.

Correct Answer is ["C","D","E","F"]

Explanation

A. Pyloric stenosis is unrelated to TOF. It involves the narrowing of the pyloric valve in the stomach and is not a defect associated with TOF.
B. LVH is not typically a feature of TOF, as the primary issues affect the right ventricle.
C. Right ventricular hypertrophy occurs due to the obstruction of blood flow through the pulmonary valve in TOF.
D. In TOF, the aorta is positioned directly over the ventricular septal defect (VSD), which is known as overriding aorta.
E. A VSD is a key component of TOF, where there is a hole between the ventricles, allowing oxygen-poor and oxygen-rich blood to mix.
F. Pulmonary stenosis (narrowing of the pulmonary valve) is one of the hallmark defects in TOF.

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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

A nurse is assessing a 5-month-old Infant who has had a seizure and high pitched crying with a high fever. The nurse anticipates the need for which diagnostic testing?

Correct Answer is C

Explanation

A nurse is caring for a preschool client who has Tetralogy of Fallot (TOF). What are the defects the nurse should be aware of when caring for a client with Teratology of Fallot (TOF)? (Select all that apply).

Correct Answer is ["C","D","E","F"]

Explanation

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