A 5-year-old boy was diagnosed with Duchenne muscular dystrophy less than 18 months ago.

The client presents with fatigue, and muscular weakness and is having difficulty running, and often falls majority of his attempts.

Which of the following would the nurse expect to be elevated in Duchenne muscular dystrophy?

Lactate Dehydrogenase.

C-Reactive Protein.

Erythrocyte sedimentation rate.

Creatine kinase.

Answer and Explanation

The Correct Answer is D

In patients with Duchenne muscular dystrophy (DMD), creatine kinase levels are often increased to levels that are 50-100 times the reference range.

Choice A is incorrect because lactate dehydrogenase is not typically elevated in DMD.
Choice B is incorrect because C-reactive protein is not typically elevated in DMD.
Choice C is incorrect because the erythrocyte sedimentation rate is not typically elevated in DMD.

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Free Nursing Study Resources

Correct Answer is A

Explanation

“Spiral.” A spiral fracture is a type of fracture that is frequently associated with child abuse.

Choice B is incorrect because bowing fractures are not specifically associated with child abuse.
Choice C is incorrect because closed fractures are not specifically associated with child abuse.
Choice D is incorrect because greenstick fractures are not specifically associated with child abuse.

A. Warmth. B. Mild erythema. C. Serosanguineous drainage. D. Fever.

Correct Answer is D

Explanation

Fever is a sign of infection and can indicate that there is an infection at the pin sites.

Choice A is not correct because warmth can be a normal finding at the pin sites.
Choice B is not correct because mild erythema can be a normal finding at the pin sites.
Choice C is not correct because serosanguineous drainage can be a normal finding at the pin sites.

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Naxlex Comprehensive Predictor Exams

The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that a twist around the bone frequently associated with child abuse is what type of fracture?

Correct Answer is A

Explanation

A nurse is collecting data from a client who has skeletal traction. Which of the following findings should the nurse identify as an indication of infection at the pin sites?

Correct Answer is D

Explanation

A nurse is collecting data from a 3-month-old infant. Which of the following findings should the nurse report to the provider?

The nurse assesses the initial lochia post-delivery which is known as:

A nurse is caring for a client who has acute osteomyelitis. The client asks the nurse to explain how she developed the infection. The nurse should respond that which of the following organisms is the most common cause?

The nurse is conducting an annual examination on a young female who reports her last menses was 2 months ago. Although the client insists she is not pregnant due to a negative home pregnancy test, which assessment should the nurse prioritize to assess for a possible pregnancy?

The nurse is doing neurovascular checks on a child who has had a cast applied to treat a fracture. The nurse observes for diminished or absent sensation and numbness or tingling. In doing this, the nurse is monitoring which symptom?

A nurse is caring for a toddler who had a cast applied 2 hours ago due to multiple fractures of the right hand. Which of the following findings should the nurse report immediately to the charge nurse?

Which of the following danger signs of pregnancy should the nurse teach a patient to report promptly?

The nurse is discussing teenage substance use with a group of caregivers of adolescent children. Which statement made by the caregivers is most accurate regarding substance use disorders in teens?