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 ["A","B","C"]
Explanation
Choice A rationale
Scales represent the accumulation of dead skin cells that flake off, a common secondary lesion in eczema resulting from the chronic inflammation and rapid skin cell turnover.
Choice B rationale
Erosion occurs when the superficial layer of skin is lost, typically due to scratching or friction in eczema, exposing the underlying epidermis and sometimes leading to infection.
Choice C rationale
Crusts form when serum, blood, or purulent exudate dries on the skin surface, often seen in eczema as a result of weeping lesions and subsequent drying.
Choice D rationale
Ulcers are deeper lesions extending into the dermis or subcutaneous tissue and are not typically associated with eczema. Eczema usually affects the epidermis, causing secondary lesions like scales, erosion, and crusts rather than deep tissue ulcers.
Correct Answer is D
Explanation
Choice A rationale
Fever is typically regulated by the hypothalamus, a part of the brain that controls body temperature. Dysfunction of the lower brain stem does not typically cause fever.
Choice B rationale
Visual disturbances are often related to issues with the visual cortex or optic pathways, which are not part of the lower brain stem.
Choice C rationale
Gait alteration is typically associated with dysfunction in the cerebellum or motor pathways, rather than the lower brain stem.
Choice D rationale
Hypoxia, or decreased oxygen levels, can be a critical concern with lower brain stem dysfunction as the lower brain stem controls vital autonomic functions such as respiration and heart rate.
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