A patient is suspected to have osteomalacia based on his clinical ...

[nmorano1]

A patient is suspected to have osteomalacia based on his clinical manifestations and lab/diagnostic workup (low calcium levels, transverse lines on x-ray). The nurse would expect the patient to have which of the following clinical manifestations?
 
  Select all that apply.
  A)
  Nerve palsy in upper extremities.
  B)
  Calcification of aortic valve.
  C)
  Bone pain.
  D)
  Muscle weakness.
  E)
  Cold limb with absent pulses.

Question 2

A nurse practitioner student is trying to distinguish the various rashes they will be seeing in their pediatric rotation. Their nurse preceptor is assisting by describing the rash associated with rubeola.
 
  Which of the following characteristics would apply to rubeola? Select all that apply.
  A)
  Rash is macular and blotchy.
  B)
  Maculopapular rash covering the trunk and spreading to the appendages.
  C)
  The rash usually begins on the face and then spreads to the legs/arms.
  D)
  The rash forms vesicles with depressed centers that are filled with yellow-colored fluid.
  E)
  The painful rash follows a nerve root usually on only one side of the body.

[wilsonbho]

Answer to Question 1

Ans:
C, D

Feedback:

The clinical manifestations of osteomalacia are bone pain, tenderness, and fractures as the disease progresses. In severe cases, muscle weakness often is an early sign. The person is predisposed to pathological fractures in the weakened areas, especially in the distal radius and proximal femur. Cold limb with absent pulses is caused by lack of arterial blood supply to the affected bone.

Answer to Question 2

Ans:
A, C

Feedback:

Rubeola is highly communicable. The characteristic rash is macular and blotchy. The rash usually begins on the face and then spreads to the legs/arms (appendages). A maculopapular rash covering the trunk and spreading to the appendages is noted in roseola infantum. Varicella begins as a macular stage and then proceeds to the second stage where the rash forms vesicles with depressed centers that are filled with yellow-colored fluid. A painful rash follows a nerve root usually on only one side of the body is usually characteristic of shingles.

[nmorano1]

Excellent

[nanny]

TYSM