A client who has just been diagnosed with mixed muscular dystrophy asks the nurse about the usual course of this disease.
How should the nurse respond?
"You may experience progressive deterioration in all voluntary muscles.”.
"The strength of your arms and pelvic muscles will decrease gradually, but this should cause only slight disability.”.
"You should ask your health care provider about that.”.
"This form of muscular dystrophy is a relatively benign disease that progresses slowly.”. .
The Correct Answer is A
Choice A rationale
Mixed muscular dystrophy leads to progressive deterioration in all voluntary muscles, causing increasing disability over time.
Choice B rationale
This statement is incorrect because mixed muscular dystrophy affects more than just the arms and pelvic muscles and leads to significant disability.
Choice C rationale
This is not an appropriate response as it does not provide any information and deflects the client's question.
Choice D rationale
Mixed muscular dystrophy is not considered benign, as it causes significant and progressive muscle deterioration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Vitiligo is a condition characterized by depigmentation of the skin, leading to white patches. It does not typically affect the fingernails, so pitting on the surface of the nails is not indicative of vitiligo.
Choice B rationale
Psoriasis is a chronic skin condition that often affects the nails, leading to pitting or the appearance of small depressions on the nail surface. Nail psoriasis can also cause discoloration, thickening, and separation of the nail from the nail bed.
Choice C rationale
Melanoma is a type of skin cancer that can affect the nails, causing dark streaks or pigmentation changes. However, pitting on the surface of the nails is not a characteristic feature of melanoma.
Choice D rationale
Diabetes can lead to various nail changes, including thickening and yellowing of the nails, but it does not typically cause pitting on the nail surface. Pitting is more specific to psoriasis.
Correct Answer is D
Explanation
Choice A rationale
The spinal accessory nerve (cranial nerve XI) controls the sternocleidomastoid and trapezius muscles, which are responsible for movements of the head and shoulders. Dysfunction in this nerve would not affect the gag reflex.
Choice B rationale
The acoustic nerve (cranial nerve VIII) is responsible for hearing and balance. Dysfunction in this nerve would lead to hearing loss and balance issues, not an absent gag reflex.
Choice C rationale
The facial nerve (cranial nerve VII) controls muscles of facial expression and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue. Dysfunction here results in facial paralysis or weakness but not in the absence of a gag reflex.
Choice D rationale
The vagus nerve (cranial nerve X) innervates muscles of the pharynx and larynx, which are involved in swallowing and the gag reflex. Dysfunction in the vagus nerve would result in an absent gag reflex, which is why the nurse determines this as the issue.
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