Davis Success NM

The mother of a child with Duchenne MD asks the nurse who in the family should have genetic screening. Who should the nurse say must be tested? Select all that apply.

1. Mother 2. Sister 4. Aunts and all female cousins

Why does spinal cord injury without radiographic abnormality sometimes occur in children?

Children can suffer momentary sever subluxation and trauma to the spinal cord

The nurse knows that teaching was successful when a parent states which of the following are early signs of MD?

Difficulty climbing stairs

The nurse knows that teaching has been successful when the parent of a child with muscle weakness states that the diagnostic test for MD is which of the following?

Muscle biopsy

A 5 year-old has been diagnosed with pseudohypertrophic MD. Which nursing interventions would be appropriate? Select all that apply.

1. Discuss with the parents the potential need for respiratory support 3. Suggest low impact exercises that limit stress placed on the muscle and prevent fatigue 5. Encourage the parents to contact the school to develop an IEP

Which will help a school-age child with MD stay active longer? Select all that apply.

1. Normal activities, such as swimming 3. Several periods of rest every day 4. Using a wheelchair upon getting tired

The nurse is caring for a school-age child with Duchenne MD in the elementary school. Which would be an appropriate nursing diagnosis?

Activity intolerance

The nurse should tell the parents of a child with Duchenne (pseudohypertrophic) MD that some of the progressive complications include which of the following? Select all that apply.

3. Contractures, obesity, and pulmonary infections 5. Increasing difficulty swallowing and shallow breathing

Which foods would be best for a child with Duchenne MD? Select all that apply.

4. Low-calorie foods to prevent weight gain 5. Thickened liquids and smaller portions that are cut up

An adolescent presents with sudden-onset unilateral facial weakness with drooping one side of the mouth. The teen is unable to close the eye on the affected side but has no other symptoms and otherwise feels well. The nurse could summarize the condition by which of the following?

This is paralysis of the facial nerve