Chapter 49: Developmental and Metabolic Disorders

An older adult is being evaluated for chronic fatigue. Which assessment data by the nurse would support the diagnosis?

Inability to concentrate; awakens after a few hours of sleep and cannot return to sleep

A child has been diagnosed with myopathic neuromuscular scoliosis. What are concurrent diagnoses may the child have?

Cerebral palsy

which statement will the nurse impart to the parent of a child with Legg-Calve Perthes disease?

"A genetic pattern for this disease has not been established"

a nurse is evaluating the progress of a client with chronic fatigue syndrome. Which statement by the client indicates successful symptom management?

"My schedule includes yoga and a weekly club meeting"

A client with osteomalacia asks "How can I be deficient in Vitamin D"? Which of the following is the nurse's best response?

"Tell me about your typical daily food intake"

The parents of a 6-year-old child diagnosed with bilateral genu valgum (knock knees) ask the health care provider when treatment will begin to correct the problem. The best response would be:

"The child's measurements fit within the acceptable assessment period; treatment is not necessary at this time"

Which condition is considered a supportive factor in the diagnosis of chronic fatigue syndrome (CFS)?

Depression

A nursing student who is studying disorders of the skeletal system is heard making the following statement, "Many skeletal disorders of early infancy are caused by intrauterine position and need to be surgically fixed." Is this statement true or false?

False

Which statement correctly describes osteogenesis imperfeca, or brittle bone disease?

Osteogenesis imperfecta is caused by deficiencies in the synthesis of type 1 collagen

Which statement correctly describes osteogenesis imperfect, or brittle bone disease?

Osteogenesis imperfecta is caused by deficiencies in the synthesis of type II collagen

A 16-month-old boy has a normal weight for his age but a height far below the normal range. His list of symptoms includes a protruding abdomen, lethargy, bow legs, muscle weakness, and irritability. His teeth have not yet developed and he has difficulty standing. What is the child's most likely diagnosis?

Rickets

The health care provider is explaining the course of treatment to the parents of a 2-year old born with congenital clubfoot. Which treatment option will likely be discussed?

Serial manipulations and casting of the affected extremity

Which client needs screening for osteoporosis?

The client who seems to have "shrunk" in height

After a week in which a client worked four 12-hour shifts and went home to two children with the flu, the client is feeling fatigued. How should this client's fatigue be categorized?

physiologic

A nursing instructor is teaching students about osteoporosis and informs the class that certain children are also at higher risk for decreased bone mass. Which group of children are at risk for developing osteoporosis? Check all that apply

premature infants, children on corticosteroids, infants with low birth weight, children with cystic fibrosis

What is the definition of a congenital deformity?

abnormalities present at birth

what should the nurse teach a client who is on bed rest?

immobility will lead to deconditioning of muscles

A child presents to the emergency with suspected trauma to the growth plate in the ankle during a soccer game. Which step is the best intervention?

Assess the child for pain and prepare for diagnostic studies

A nurse is evaluating a client's response to instructions about exercise. Which level of activity meets the recommendations by the CDC for a client who is 75 years old?

Daily walking and weight training with a heart rate of 90

Osteoporosis is a disease caused by demineralization of one. What is the clinical method of choice for diagnosing osteoporosis?

Dual-energy x-ray absorptiometry (DXA) of the spine and hip

Which cardiovascular response will the nurse assess in order to determine that a client has activity intolerance?

Dyspnea during activity

In examining a school-aged child, which sign leads the nurse to refer the child to a specialist in musculoskeletal abnormalities?

Malalignment of spinous processes

Which statement is true about treatment of developmental dysplasia of the hip

Treatment needs to be individualized