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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While dietary consultation may be beneficial for overall health, colorectal cancer screening is more relevant given Robert's family history.
B. Colorectal cancer screening is recommended for individuals with a family history of colorectal cancer, regardless of symptoms.
C. A rectal examination alone is not sufficient for colorectal cancer screening; additional screening modalities such as colonoscopy or fecal occult blood testing are needed.
D. Colorectal cancer screening is recommended for individuals with a family history of colorectal cancer, starting at an earlier age and possibly with more frequent intervals than for those without a family history.
Correct Answer is ["B","D","E"]
Explanation
A. Intravenous bicarbonate is not typically indicated in the management of COPD because it can cause metabolic alkalosis and paradoxical intracellular acidosis.
B. Mechanical ventilation improves her gas exchange and correct her acid-base imbalance.
C. Reducing the dose of tiotropium is not appropriate because it is a long-acting bronchodilator that can help prevent bronchospasm and improve airflow in COPD patients.
D. Sarah's low PaO2 indicates hypoxemia, and supplemental oxygen is essential for correcting this. However, in COPD patients, oxygen therapy should be administered cautiously to avoid worsening hypercapnia.
E. Intravenous corticosteroids would reduce the inflammation and mucus production in her airways.
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