Which assessment data obtained by the nurse during the health history portion of the assessment process support the current diagnosis of Duchenne muscular dystrophy (MD) for an 18-month-old child?
1. Infant was postmature by almost 2 weeks.
2. The child seems very muscular.
3. The child walked early and without support at 10 months.
4. The child's older sister developed scoliosis in the fourth grade.
2
Explanation:
1. Postmaturity is not related to Duchenne MD.
2. Duchenne MD is also called pseudohypertrophic due to the enlarged appearance of the muscle. The pathophysiology is infiltration of the muscle fibers with fatty tissue.
3. This finding is not indicative of Duchenne MD.
4. The older sister's scoliosis is not related to MD. Duchenne MD is sex-linked recessive and affects only boys.
You might also like to view...
An older adult may lose weight because of all of the following except
a. An infection and fever b. Edema c. Depression d. Problems with dentition or swallowing or both
A patient with acute pancreatitis begins to demonstrate confusion and agitation. Which of the following does this information suggest to the nurse?
1. increasing intracranial pressure and efforts need to be implemented immediately to reduce the pressure 2. an acute cerebral vascular accident is imminent 3. confusion is because of an increase in serum ammonia and efforts need to be implemented to reduce this level 4. neurological changes are common and further assessment should be done with the Glasgow Coma scale
A nurse is conducting a health education class for a group of school-age children. Which statement, made by the nurse, is correct about the body's first line of defense against infection in the innate immune system?
a. Nutritional status b. Skin integrity c. Immunization status d. Proper hygiene practices
The nurse is caring for a client who has been taking clozapine (Clozaril) for 2 weeks. The client tells the nurse, "My throat is sore, and I feel weak." The nurse assesses the client's vital signs and finds that the client has a fever
The nurse notifies the physician, expecting an order to obtain which laboratory test? A) A white blood cell count B) Liver function studies C) Serum potassium level D) Serum sodium level