Chapter 49 disorders of musculoskeletal function

Which of the following clients is most likely to have low bone density?

A 65-year-old male who is noted to have osteopenia

Which of the following newborn infants demonstrates the highest risk of presenting with developmental dysplasia of the hip or DDH?

A girl who was born with towing in and Was in breech presentation

A patient is suspected to have osteomalacia based on his clinical manifestations and lab diagnostic work up of low calcium levels and transverse lines on x-ray. The nurse would expect the patient have which of the following clinical manifestations? Select all that apply

Bone pain, muscle weakness

Which of the following is an aspect of the bone growth and development occurs during the first two decades of life?

Cartledge sales at the meadow physeal seal end of the bone plate replaced by Bone cells

When a four-year-old boys stand erect with his medial malleoli touching, The distance between his knees is 2 inches. What is the child's most likely diagnosis and treatment

Genu Varum, which can be treated by bracing

Patient comes in to the orthopedic clinic complaining of severe pain in his hip that was not caused by a fall. On inspection the femur and tibia are bowed there's also a reduced angle of the femoral neck which gives a patient waddling gait appearance. The doctor suspects Peget disease. The patient ask how he got that. The nurse will respond

It's most likely a genetic predisposition do you know if anyone else in your family has this problem?

When explaining to a class of nursing students the aspects of dysregulation of RANKL/RANK/OPG pathway, instructor emphasizes that this plays a prominent role in pathogenesis of select all that apply

Neoplqsia of the bone, osteoporosis

Child parents are coming into the physicians office to get the results of some diagnostic testing related to his knee pain and unusual stiffness and fatigue. The position suspect the child may have slipped capital femoral epiphysis. The nurse would expect of the treatment will involve: select all that apply

No weight bearing on the femur, bedrest, traction

Well measuring the height of a 12-year-old girl during an office visit, the primary physician note of deviation of the girls spine. This was subsequently quantified as being a Right curve scoliosis of approximately 10° deviation. Which of the following treatment options is most clearly indicated?

Observation and no active treatment

Well an infant is in the supine position with both knees flexed, the clinician applies gentle downward pressure to both knees and the knee entire abducted as an upper and medial pressure is applied to the proximal thigh. This examination technique used to screen for reducible dislocation is called

Ortolani maneuver

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

Rickets

Following bone density scan and diagnostic imaging a four-year-old boy has been diagnosed with leg Calvé-Perthes disease. Which of the following findings signs and symptoms would lead clinicians to this conclusion? Select all that apply

The boy has significant difficulty in walking, the child has limited abduction of the affected hip, his femoral head region is noted to be necrotic

The empanada family has been recently immigrated to the United States from south Asia has been diagnosed with crickets. Bone density skating with healed which of the following characterization to the infants bones?

The child's bones are far softer than those of a healthy child

A public health nurse is learned that a colleague has been screening for scoliosis during visit major school even though such screening is not mandated. How should the nurse best respond to the colleague?

The potentially harmful outcomes of screening have been shown to outweigh the benefits

74-year-old female has been diagnosed with osteoporosis after her bone density scan indicated osteopenia. Which of the following factors with her care team most likely rule out other contributors to her health problem?

The woman is African-American and was exposed as best as in her work

The parents of a newborn who has been diagnosed with developmental dysplasia of the hip asked the nurse about reasons this harness Hass to be on their child. The nurse response

This harness allows your babies some motility as it slowly brings the back legs into abduction

The osteoporosis patient asked the nurse to explain what bisphosphonate medication does. The nurse will respond

This medication helps prevent bone ribs option which will help prevent fractures

The nurse is teaching a wellness group among a group of older adult women. What other woman has asked for advice about preventing osteoporosis, which affects many of her friends. What is the nurses best response to the woman's query?

Weight bearing exercise is helpful as are calcium supplements

A female toddler has been diagnosed with towing in. What teaching to the pediatrician provide to the parents of the child of her diagnosis?

Will likely need to start putting the first of a series of cast on her leg quite soon

Following genetic testing and thorough History from the child's mother and father a five-month-old boy has been diagnosed with osteogenesis imperfecta. What teaching point should the care team provide to the mother and father?

You'll need to be very careful to avoid causing fractures to his fragile bones