A nurse is providing care for a patient who has osteomalacia. What major goal will guide the choice of medical and nursing interventions?
A) Maintenance of skin integrity
B) Prevention of bone metastasis
C) Maintenance of adequate levels of activated vitamin D
D) Maintenance of adequate parathyroid hormone function
Ans: C
Feedback:
The primary defect in osteomalacia is a deficiency of activated vitamin D, which promotes calcium absorption from the gastrointestinal tract and facilitates mineralization of bone. Interventions are aimed at resolving the processes underlying this deficiency. Maintenance of skin integrity is important, but is not the primary goal in care. Osteomalacia is not a malignant process. Overproduction (not underproduction) of PTH can cause the disease.
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