A parent calls a pediatric information line worried about muscular dystrophy because her daughter has new onset of muscle weakness. Which question by the nurse would elicit the most useful information?
A.
"Does anyone else in your house have this?"
B.
"Does this seem to come and go sporadically?"
C.
"Does your child have a rash on her face?"
D.
"Does your daughter complain of stiffness?"
ANS: C
Dermatomyositis is an autoimmune disorder characterized by proximal muscle weakness, a red-purple facial rash, possibly a rash similar to that seen in systemic lupus erythematosus, tender and stiff muscles, voice changes, and dysphagia. The muscle weakness combined with the facial rash would provide the nurse a basis to suspect this disorder. This is not contagious nor is it inherited, so asking about others' symptoms would not be helpful. It is not characterized by exacerbations and remissions, and although stiffness is a common manifestation, that could be indicative of many other conditions.
You might also like to view...
The role of the LPN/LVN in the assessment phase of the nursing process is to:
1. Identify client strengths and promote health maintenance. 2. Collect data and observe and report client status to the RN. 3. Develop an individualized care plan. 4. Observe or measure client responses to nursing interventions.
Well-defined policies are necessary to ensure that: (Select all that apply.)
a. confidentiality of protected health information is safeguarded. b. accurate cost accounting occurs. c. data capture is being automated. d. clinical decision support is adopted.
A patient receiving a blood transfusion begins to develop itchy hives. The nurse realizes the type of transfusion reaction this patient is experiencing is most likely
1. febrile. 2. allergic. 3. acute hemolytic. 4. lung injury.
A client has been admitted as a result of lack of food and nutrients in the body. When caring for the client, the nurse finds that the client feels nauseated at meal times. Which is the most appropriate intervention for the nurse?
A) Weighing the client daily B) Providing tube feeding as ordered C) Administering insulin as ordered D) Providing warm milk regularly