A nurse is caring for a child with a diagnosis of Duchenne's muscular dystrophy (DMD). The nurse should recognize that which of the following accurately describes Duchenne muscular dystrophy (DMD)?
(Select All that Apply.)
DMD is an inherited X-linked recessive trait
Most Clients with DMD are wheelchair dependent by age 12
The disease leads to progressive muscle degeneration.
Clients with DMD are never able to ambulate independently.
Disease progression always requires hospitalization
Correct Answer : A,B,C
A. Duchenne muscular dystrophy is caused by a mutation in the dystrophin gene, which is X-linked, meaning it is passed down from carrier mothers to affected sons. It primarily affects boys.
B. Children with DMD usually lose the ability to walk by the age of 12 due to progressive muscle weakness.
C. DMD is characterized by the progressive degeneration and weakness of the skeletal muscles, leading to loss of function over time.
D. While most children with DMD will become wheelchair-bound, some may be able to ambulate independently until the early teenage years, before losing the ability to walk.
E. Hospitalization is not always required for DMD. Treatment may include outpatient therapies and management of symptoms. The need for hospitalization depends on complications.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Tricuspid atresia causes underdevelopment of the right side of the heart and does not result in increased pulmonary blood flow.
B. Pulmonic stenosis causes obstruction of blood flow to the lungs, not an increase in blood flow.
C. A ventricular septal defect (VSD) is a congenital heart defect that allows blood to flow from the left ventricle to the right ventricle, increasing blood flow to the lungs and causing pulmonary congestion.
D. Transposition of the great arteries results in two separate circulations, one for oxygenated and one for deoxygenated blood, and does not increase pulmonary blood flow
Correct Answer is A
Explanation
A. Bacterial meningitis is highly contagious, and isolation precautions are necessary to prevent the spread of the infection to others. This should be the nurse's first action to protect both the child and others.
B. While antibiotics are crucial in treating bacterial meningitis, initiating isolation protocols is the first priority to prevent transmission to others.
C. A lumbar puncture is needed to confirm the diagnosis of meningitis, but isolation protocols should be established first to prevent spread.
D. Blood cultures are important for diagnosing bacterial meningitis but are secondary to ensuring proper isolation to prevent contagion.
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