A 12-year-old boy with Duchenne muscular dystrophy is being seen in the clinic for a routine health visit. An appropriate nursing diagnosis for this client would be:
1. Risk for impaired mobility related to hypertrophy of muscles and possible loss of ability to ambulate.
2. Risk for infection related to altered immune system.
3. Risk for impaired skin integrity related to paresthesia to lower extremities.
4. Risk for altered comfort related to effects of muscular dystrophy disease.
1
Rationale:
1. Nursing care for muscular dystrophy focuses on promoting independence and mobility for this progressive, incapacitating disease.
2. In Duchenne muscular dystrophy, risk for infection is not as high a priority as risk for impaired mobility.
3. In Duchenne muscular dystrophy, risk for impaired skin integrity is not as high a priority as risk for impaired mobility.
4. In Duchenne muscular dystrophy, and risk for altered comfort is not as high a priority as risk for impaired mobility.
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