Question

A pediatric nurse caring for a child with Osteogenesis Imperfecta (OI) knows that he must be aware that:

1) Care must be taken when repositioning the child.
2) Blood pressure could potentially cause a fracture.
3) Gentle holding should occur during feedings.
4) All of these are pertinent to the care of a child with OI.

Answer 1

A pediatric nurse must be exceedingly careful when caring for a child with Osteogenesis Imperfecta due to the high risk of fractures. Gentle repositioning, cautious blood pressure measurement, and careful handling are all crucial. Treatment focuses on preventing fractures and maintaining mobility.

Step-by-step explanation:

Osteogenesis Imperfecta (OI), also known as brittle bone disease, is a genetic condition that causes bones to be frail and prone to fractures. A pediatric nurse caring for a child with OI must be extremely cautious in all aspects of care to prevent bone injuries. This includes being gentle during repositioning, avoiding tight blood pressure cuffs that could cause fractures, and holding the child carefully during feedings. The genetic mutations associated with OI affect the production of collagen, vital for bone strength and structure, and result in a spectrum of symptoms including bone deformities, fragile skin, hearing loss, and easy bruising. Treatments often involve preventing fractures and supporting mobility with aids such as braces, wheelchairs, and safe exercises like swimming. In severe cases, surgical interventions and medications like bisphosphonates may be used to manage the disease.