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

Answer and Explanation

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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Correct Answer is A

Explanation

A. Wilms' tumor is a kidney tumor, and the child should not have blood pressure measured or venipuncture done on the affected side to avoid any potential injury to the kidney.
B. This is important in care but is not the primary immediate precaution. The main focus is to avoid injury to the affected kidney.
C. While urine collection is important for monitoring kidney function, it is not a warning sign for Wilms' tumor.
D. This may be necessary later in the treatment but is not a primary concern for the initial care of a child with Wilms' tumor.

A. Clean the face with an antibacterial soap twice each day. B. Express comedones by gentle squeezing; then cleanse with alcohol. C. Clean the face gently with a mild soap once or twice each day. D. Avoid foods with a high-fat content such as French fries and chocolate

Correct Answer is C

Explanation

A. Using antibacterial soap may be too harsh and could irritate the skin.
B. Expressing comedones (popping pimples) is not recommended as it can lead to scarring and infection.
C. Cleaning the face gently with a mild soap is appropriate for managing acne and preventing irritation.
D. Although diet can affect acne in some cases, avoiding foods like French fries and chocolate is not a proven method for acne control.

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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.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to Implement?

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.)