A 5-year-old child with a history of a waddling gait and frequent falls is brought into the hospital for diagnostic testing.
When explaining the diagnostic testing to the parents, the nurse should provide information based on which understanding of the underlying disease pathology?

Systemic autoimmune vasculopathy.

Autonomic neuropathy.

Impaired neuron function.

Muscle fiber degeneration.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Systemic autoimmune vasculopathy is not a typical underlying disease pathology associated with a waddling gait and frequent falls in a 5-year-old child. This choice is not relevant to the symptoms described.

Choice B rationale:

Autonomic neuropathy may manifest with a variety of symptoms, including autonomic dysregulation, but it is not a common underlying pathology leading to a waddling gait and frequent falls in a child. This choice is not relevant to the symptoms described.

Choice C rationale:

Impaired neuron function can result in various neurological symptoms, but it does not specifically explain the waddling gait and frequent falls in a 5-year-old child. This choice is not relevant to the symptoms described.

Choice D rationale:

Muscle fiber degeneration is the most appropriate explanation for the symptoms of a waddling gait and frequent falls in a 5-year-old child. These symptoms are indicative of a neuromuscular disorder known as Duchenne muscular dystrophy (DMD), which involves progressive muscle weakness and degeneration. DMD is characterized by the loss of muscle fibers and is a common cause of a waddling gait and falls in affected children. Therefore, choice D is the correct answer based on the understanding of the underlying disease pathology.

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Correct Answer is C

Explanation

Choice A rationale:

Domestic violence assistance is an important topic, but it falls under secondary and tertiary prevention rather than primary disease prevention, which is the focus of this community outreach program. Primary prevention aims to prevent the disease from occurring in the first place, while domestic violence assistance addresses an existing issue.

Choice B rationale:

Blood pressure screening is valuable for early detection of hypertension, but it also falls under secondary prevention. Primary prevention focuses on preventing the onset of diseases through measures such as immunizations, health education, and lifestyle modifications.

Choice D rationale:

Outreach for support group information is essential for clients with chronic conditions or specific needs. However, it is not primarily related to preventing diseases at the population level, which is the primary goal of this community outreach program. This topic may be more relevant to secondary and tertiary prevention efforts.

A. Elevated blood pressure. B. Curling's ulcer. C. Compartment syndrome. D. Excruciating pain.

Correct Answer is B

Explanation

The correct answer is choice b. “Curling’s ulcer.”

Choice A rationale:

Elevated blood pressure is not a common complication specifically associated with partial-thickness burns. It may occur due to pain or stress but is not the most critical complication to anticipate.

Choice B rationale:

Curling’s ulcer, a type of stress ulcer, is a significant complication that can develop in burn patients due to the stress response and reduced blood flow to the gastrointestinal tract.

Choice C rationale:

Compartment syndrome is more commonly associated with circumferential full-thickness burns rather than partial-thickness burns.

Choice D rationale:

Excruciating pain is a symptom rather than a complication. While pain management is crucial, it is not the most critical complication to anticipate.

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A 5-year-old child with a history of a waddling gait and frequent falls is brought into the hospital for diagnostic testing. When explaining the diagnostic testing to the parents, the nurse should provide information based on which understanding of the underlying disease pathology?

Nursing Test Bank

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Correct Answer is C

Explanation

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Correct Answer is B

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A 5-year-old child with a history of a waddling gait and frequent falls is brought into the hospital for diagnostic testing.
When explaining the diagnostic testing to the parents, the nurse should provide information based on which understanding of the underlying disease pathology?