Porth's Ch 58 Disorders of Musculoskeletal Function: Developmental and Metabolic Disorders

The nurse caring for a child with a deficiency of vitamin D knows that the deficiency places the child at risk for which of the following?

Rickets

Which of the following information is important for the nurse to teach the female patient about the development of osteoporosis?

"Estrogen deficiency contributes to the development of osteoporosis."

Which of the following information would the nurse include when teaching potential parents about prevention of congenital deformities? Select all that apply.

"Limit exposure to alcohol." "Do not take any medication without first talking to your healthcare provider."

The nurse has just finished teaching a client newly diagnosed with rheumatoid arthritis about the disease. The nurse determines that teaching is effective when the client states:

"Rheumatoid arthritis includes joint involvement that is usually symmetric and polyarticular."

Which of the following is the definition of a congenital deformity?

Abnormalities present at birth

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 of the following should the nurse teach a patient about syndactyly?

"This is a simple webbing of the fingers or toes."

For many clients, the first indication that they have osteoporosis is:

A bone fracture

Nursing students are studying metabolic disorders of the skeletal system and correctly identify which of the following to be the major cause of osteoporosis?

Aging process

Which best describes metatarsus adductus?

An adducted forefoot which gives the foot a kidney-shaped appearance

A client with confirmed low bone density asks the nurse if there is anything she can to decrease the risk of trauma. The best response would be:

Brisk walking three times per week on a flat surface

A female athlete has been diagnosed with amenorrhea due to intense training for a spot on the Olympic swimming team. As a health care provider, which of the following should be implemented to prevent premature osteoporosis?

Calcium/vitamin D supplements to support BMD.

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

Cerebral palsy

Which of the following statements is true about congenital club foot?

Club foot may be associated with congenital syndromes

The nurse assessing a child with osteogenesis imperfecta notes that the child has blue sclera, hearing problems, and dental problems. The nurse recognizes the child most likely has which type of osteogenesis imperfecta?

I

A daughter is concerned because her elderly parent has been diagnosed with osteomalacia. The daughter asks the nurse why this happened. The best response would be that:

Intestinal absorption slows as a natural aging process

Which of the following statements correctly describe osteogenesis imperfecta, or brittle bone disease?

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

A 75-year-old Caucasian female has been admitted to the hospital with a hip fracture. She states, "All I did was fall into my chair, not even very hard." Upon diagnostic testing, the client's bones shows loss of trabeculae from cancellous bone and thinning of the cortex. Which diagnosis is most likely?

Osteoporosis

A child with Osgood-Schlatter disease most often presents with which of the following assessment findings?

Pain in front of the knee

In examining an adolescent who is noted to have a lateral curvature in the spine in the upright position, but that corrects with bending, the clinician is aware that this would be identified as which of the following?

Postural scoliosis

When comparing a child's clinical manifestations with that of oligoarthritis versus systemic onset, the health care provider diagnoses this in your 4-year-old child with oligoarthritis based on which of the following clinical findings?

Right knee is warm and painful when putting it through normal range of motion.

The nurse is providing teaching for parents of a 2-week-old infant just diagnosed with clubfoot. The nurse includes that the first treatment option is which of the following?

Serial manipulations and casting

The nurse is providing care for an adult client whose current medication regimen includes calcitonin and a bisphosphonate. The nurse should recognize the likely need for:

bone density testing on a scheduled basis