What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?

Exhibits atrophy of the calf muscles.

Has delayed fine-motor development.

Falls frequently and is clumsy.

Ambulates by holding onto furniture.

Answer and Explanation

The Correct Answer is C

C. Muscle weakness and lack of coordination contribute to difficulties with balance and coordination, leading to frequent falls and clumsiness in children with DMD.

A. DMD typically presents with symptoms such as difficulty climbing stairs, a waddling gait, and calf muscle hypertrophy, rather than atrophy.

B. Delayed fine-motor development is not a typical manifestation of Duchenne muscular dystrophy. DMD primarily affects muscle strength and function rather than fine motor skills.

D. Ambulating by holding onto furniture is not typical in Duchenne muscular dystrophy. As the disease progresses, children with DMD typically experience difficulty walking and may eventually require the use of assistive devices such as wheelchairs or orthoses for mobility.

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Correct Answer is A

Explanation

A. The absence of the dorsalis pedis pulse in the right foot is concerning and could indicate compromised circulation to the extremity. It is essential to notify the healthcare provider promptly so that further assessment and intervention can be initiated to address the circulation issue and prevent potential complications such as ischemia or tissue damage.

B. Administering an analgesic may be necessary to manage the child's pain, especially if they are experiencing discomfort due to the femur fracture. However, addressing the absent dorsalis pedis pulse takes priority as it suggests a potential vascular problem that requires immediate attention.

C. Releasing the skin traction may not be appropriate at this point without further assessment and guidance from the healthcare provider. Skin traction is often used to temporarily stabilize fractures and reduce pain, and releasing it without proper evaluation could potentially exacerbate the injury or compromise the child's comfort and stability.

D. Applying ice to the extremity is not indicated in this situation. Ice application is typically used for acute injuries to reduce swelling and inflammation, but it is not appropriate when there is concern about compromised circulation.

A. "The enzymes probably won't cause many side effects." B. "The enzymes help him digest fat." C. "I will give my son the enzymes between meals." D. "I will put the enzyme crystals in his applesauce."

Correct Answer is D

Explanation

D. Pancreatic enzymes should not be mixed with acidic foods or liquids, as this can reduce their effectiveness. Instead, the enzymes should be sprinkled on soft, non-acidic foods or swallowed whole with a glass of water or juice.

A. Pancreatic enzymes are generally safe and well-tolerated when taken as prescribed but they can cause side effects in some individuals. Common side effects may include abdominal pain, diarrhea, constipation, nausea, and bloating.

B. Pancreatic enzymes help individuals with cystic fibrosis digest fat, as well as proteins and carbohydrates. In cystic fibrosis, the pancreas does not produce enough digestive enzymes, leading to malabsorption of nutrients, particularly fat. Supplemental pancreatic enzymes help compensate for this deficiency and improve nutrient absorption.

C. Pancreatic enzymes are typically taken with meals or snacks to aid in digestion. However, if the child is consuming a small meal or snack that contains minimal fat, the enzymes may not be necessary. It's important for the mother to follow the healthcare provider's instructions regarding when and how to administer the enzymes.

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What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child has a right femur fracture caused by a motor vehicle crash and is placed in skin traction temporarily until surgery can be preformed. During assessment, the nurse notes that the dorsalis pedis pulse is absent on the right foot. Which action should the nurse take?

Correct Answer is A

Explanation

A nurse is teaching the mother of a 5-year-old child who has cystic fibrosis about pancreatic enzymes. The nurse should understand that further teaching is necessary when the mother makes which of the following statements?

Correct Answer is D

Explanation

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