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 ["C","D","E"]
Explanation
Choice A rationale
Coping strategies are relevant to overall health and well-being, but they are not directly related to nutritional assessment. Nutritional assessments focus on physical and dietary data rather than psychological coping mechanisms.
Choice B rationale
Wrist circumference can be used as an anthropometric measure of body frame size, but it is not a standard parameter in a comprehensive nutritional assessment. More common measurements include height, weight, and BMI.
Choice C rationale
Clinical examination findings are critical in nutritional assessments to identify physical signs of malnutrition, such as muscle wasting, edema, or skin changes. These observations help assess the client’s nutritional status and needs.
Choice D rationale
BMI (Body Mass Index) is a widely used indicator of body fat based on height and weight. It helps classify individuals into categories like underweight, normal weight, overweight, or obese, providing insight into nutritional health.
Choice E rationale
Dietary data, including food intake, preferences, and restrictions, are essential components of a nutritional assessment. Understanding a client's dietary habits allows the nurse to identify nutritional deficiencies or excesses and plan appropriate interventions
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