Sally, 33, has a family history of Charcot-Marie-Tooth disease. She presents with high-arched feet and hammer toes. Genetic testing reveals PMP22 gene duplication.

Physical therapy

Custom orthotic devices

Corticosteroid injections

Occupational therapy

Answer and Explanation

Correct Answer : A,B

A.   Physical therapy can help improve muscle strength, mobility, and balance in individuals with Charcot-Marie-Tooth disease.
B.   Custom orthotic devices can help support Sally's feet, improve gait, and alleviate foot deformities associated with Charcot-Marie-Tooth disease.

C.   Corticosteroid injections are not typically used to treat the symptoms of Charcot- Marie-Tooth disease.
D.   Occupational therapy may be beneficial for some aspects of daily living but may not directly address the symptoms of Charcot-Marie-Tooth disease.

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Correct Answer is A

Explanation

A. The nurse should focus on teaching Paul about the dangers of using a tanning booth weekly, as this is the risk factor that he can modify. A tanning booth exposes the skin to artificial ultraviolet (UV) radiation, which can damage the DNA of skin cells and increase the risk of developing malignant melanoma.
B. Dysplastic nevi (atypical moles) are also a nonmodifiable risk factor for melanoma.

C. Family history of melanoma is a non-modifiable risk factor for melanoma unlike weekly use of a tanning booth which is modifiable.
D. Fair skin and blue eyes are additional risk factors for melanoma, but is non- modifiable.

A. Transversus thoracis B. Internal intercostals C. Diaphragm D. External intercostals

Correct Answer is C

Explanation

A. Transversus thoracis is involved in expiration rather than inspiration.

B. Internal intercostals primarily aid in forced expiration.

C. The diaphragm contracts and moves downward during inspiration, increasing the vertical dimensions of the thoracic cavity and allowing air to enter the lungs.
D. External intercostals help elevate the ribs during inspiration but do not contribute significantly to increasing the vertical dimensions of the thoracic cavity.

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Sally, 33, has a family history of Charcot-Marie-Tooth disease. She presents with high-arched feet and hammer toes. Genetic testing reveals PMP22 gene duplication.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Paul, 25, uses a tanning booth weekly, has multiple dysplastic nevi, is fair-skinned with blue eyes, and his mother died of malignant melanoma. Which risk factor should the nurse focus on for teaching?

Correct Answer is A

Explanation

Emma, a 25-year-old athlete, undergoes a physical exam. During deep inspiration, which muscle is primarily responsible for increasing the vertical dimensions of her thoracic cavity?

Correct Answer is C

Explanation

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