Author Question: When assessing the child with osteogenesis imperfecta, the nurse should expect to make which ... (Read 73 times)

RYAN BANYAN · **on:** Jun 27, 2018

When assessing the child with osteogenesis imperfecta, the nurse should expect to make which observation?

a. Discolored teeth
b. Below-normal intelligence
c. Increased muscle tone
d. Above-average stature

Question 2

When teaching care for a child immobilized in a spica cast, which is the most appropriate intervention?

a. Application of talcum powder to the skin twice daily
b. Fluid restriction to prevent loose stools or diarrhea
c. Assessment for a sluggish capillary refill
d. Instructing that insertion of small objects into the cast for itching or discomfort is helpful

kxciann · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Children with osteogenesis imperfecta have incomplete development of bones, teeth, ligaments, and sclerae. Teeth are discolored because of abnormal enamel. Despite their appearance, the child with osteogenesis imperfecta has normal or above-normal intelligence. The child with osteogenesis imperfecta has weak muscles and decreased muscle tone. Because of compression fractures of the spine, the child appears short.

Answer to Question 2

C
Capillary refill that is sluggish is indicative of impaired neurovascular function. The nurse should avoid applying talcum powder because it may become sticky or cake on the skin and cause irritation. The child needs appropriate fluid intake to prevent constipation or stool impaction. This is especially important because activity is limited. The nurse should instruct caregivers that nothing should be put inside the cast. Keeping food, small toys, and sharp objects away from the cast will be important.