Your assessment of a child age 5, who is believed to have Duchenne muscular dystrophy, would most likely reveal which of the following? (Select all that apply.)
a. Muscle atrophy and contractures d. Delayed walking
b. Progressive muscle weakening e. Severe anemia
c. Mental retardation f. Inability to run
A, B, D, F
Duchenne muscular dystrophy (DMD) results in progressive muscle weakening, atrophy, and contractures, beginning in early childhood. The age of onset is less than 5 years and the disease is characterized by delayed walking. A pseudo-hypertrophy of the calf (in which muscle is replaced by adipose tissue) may mask the disease to the inexperienced clinician. Affected children are usually unable to run.
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The nurse has delegated to the UAP to assist a patient with ambulating in the hallway with a cane. Which statement by the UAP indicates a need for further education?
a. "I should report any complaints of soreness to the nurse." b. "I should watch for indications that the patient has difficulties using the cane." c. "I should let the nurse or PT know if the cane doesn't seem to fit correctly." d. "I should teach the patient how to walk with the cane."
A union representative has issued a written appeal to the CNO (chief nurse officer) regarding an employee?s verbal reprimand. Which action by the CNO would be appropriate?
1. Inform the CEO (chief executive officer) of the appeal. 2. Notify the hospital?s legal counsel. 3. Call the employee and obtain information regarding the reprimand. 4. Arrange a meeting with the employee, agent, and grievance chairperson.
One of the alterations in cyclic bleeding that occurs between periods is called:
a. Oligomenorrhea. b. Menorrhagia. c. Leiomyoma. d. Metrorrhagia.
The nurse caring for a 9-month-old child with bronchiolitis assesses diminished breath sounds in the right lower lobe. The nurse understands that this finding is most likely due to:
a. Immaturity of the respiratory tree b. Bronchial spasm from coughing c. Obstruction of the bronchioles d. Pneumonia