The nurse is preparing to assess a patient with myotonic dystrophy. For what health problems should the nurse assess this patient?

Select all that apply.

1. hair loss
2. cataracts
3. long extremities
4. spinal deformities
5. significant muscle wasting


Correct Answer: 1, 2, 5
Myotonic dystrophy is an inherited disorder in which the muscles become weak, have a decreased ability to relax, and eventually waste away. Other manifestations include hair loss, and cataracts. Long extremities and spinal deformities are characteristics of Marfan syndrome.

Nursing

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Patient assignments are best made by delegating tasks based on:

1. patient acuity. 2. patient age. 3. staff ages. 4. medical diagnoses.

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The nurse is completing a family history for a newly admitted patient. Questions about what conditions would be included in this assessment? (Mark all that apply.)

A) Allergies B) Alcoholism C) Psoriasis D) Hypervitaminosis E) Obesity

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A patient tells the nurse that he becomes very angry and abusive to his friends and family when he is unable to obtain an illegal substance. How should the nurse respond?

1. "Have you considered seeking treatment for this behavior?" 2. "You must not have many friends left.". 3. "Have your actions caused problems for you at work?" 4. "I don't see how that kind of behavior helps get you what you want.".

Nursing

The nurse is caring for an unconscious patient who has an artificial eye. To determine which eye is artificial, she shines a light into the patient's eyes. Why does the nurse do this?

a. The light will cause the eye to move differently than the natural eye. b. An artificial eye pupil does not react to changes in light. c. It is essential to remove the prosthesis for cleaning. d. The implant can be seen only by shining a light.

Nursing