The parent of a 3-year-old is concerned that the child's legs are not straight. The primary care NP notes marked bowing of the child's lower extremities. Radiologic studies show decreased ossification of the child's bones. The NP should:
a. prescribe vitamin D supplements.
b. recommend calcium supplements.
c. counsel the parent to increase the child's milk intake.
d. ensure that the parent is buying vitamin D–fortified milk.
A
Children who do not get enough vitamin D can have abnormalities in bone ossification leading to rickets, which is characterized by bowing of the legs. The NP should prescribe vitamin D. Calcium supplements or increased milk intake would not be helpful. Without vitamin D, the body cannot use calcium for bone ossification. The amount of vitamin D in fortified milk is not sufficient to overcome vitamin D deficiency.
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Fill in the blank(s) with the appropriate word(s).
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