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

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

The nursing instructor is teaching about osteoporosis and tells students that reduced physical activity can contribute to the loss of bone mass. Which of the following does she tell the students is the rationale for this?

"Reduced physical activity increases the rate of bone loss, as mechanical forces are important stimuli for normal bone remodeling."

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."

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

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

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

Scoliosis is an abnormal curvature of the spine. Why is it first noticed?

Because of the deformity it causes

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

What is one of the most serious complications of Paget disease?

Cardiovascular disease

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

Club foot may be associated with congenital syndromes.

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

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

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

False

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

The pediatric nurse is providing teaching to a parent of a child with toeing-out (slew foot). Which of the following should the nurse include in the teaching?

It will most likely self correct as the child becomes proficient in walking.

Which of the following is a clinical manifestation of osteoporosis?

Loss of mineralized bone mass

The nurse is caring for a child who presented to the emergency department with multiple fractures in various stages of healing all over the body. The nurse collaborates with the physician on care for a patient with which of the following potential conditions?

Osteogenesis imperfecta

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.

The condition that contributes to the pathology of all metabolic bone diseases is:

Osteopenia

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

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

Clubfoot, or talipes, is one of the most common pediatric orthopedic conditions. The nurse knows that initial treatment usually includes which of the following?

Serial manipulations and casting of the affected extremity

Osgood-Schlatter disease is a disease that strikes children between the ages of 11 and 15. This disease involves microfractures, where the patellar tendon inserts into the tibial tubercle. What is Osgood-Schlatter disease characterized by?

Thickening of patellar tendon

The nurse suspects idiopathic scolios in a patient based on which of the following assessment findings?

Uneven shoulders or iliac crest