A client is suspected to have muscular dystrophy. About what diagnostic testing does the nurse educate the client? (Select all that apply.)

a. Electromyography
b. Muscle biopsy
c. Nerve conduction studies
d. Serum aldolase
e. Serum creatinine kinase


ANS: A, B, D, E
Diagnostic testing for muscular dystrophy includes electromyography, muscle biopsy, serum aldolase and creatinine kinase levels. Nerve conduction is not related to this disorder.

Nursing

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A 5-year-old child was admitted for a diagnosis of meningitis with a fever of 104.5° F and nuchal rigidity. She responded to antipyretics that were ordered

In addition, the patient's mother was asked to help reduce the fever by limiting the number of blankets covering the patient. After interventions, the child's temperature is 100.5° F. The nurse recognized that the mother has an understanding of the patient's condition when she states which of the following? a. "The high temperature is useful in fighting bacteria and viruses as long as it's not too high." b. "You need to get her temperature down quickly. She's so uncomfortable." c. "Her fever is dropping because she is shi-vering. She must be cold." d. "She probably picked up a bacteria. That's what kids do. That's why they get in-fected."

Nursing

A nurse can deal preventively with the potential for experiencing negative feelings while working

with a severely depressed client by (more than one response may be correct) A. understanding the part neurotransmitters play in depression. B. establishing realistic expectations for the client and self. C. focusing as little as possible on feelings toward the client. D. disregarding empathic information originating in the client.

Nursing

A client with AIDS has been tested for cytomegalovirus (CMV) with positive titers. What severe complication should the nurse be alert for with cytomegalovirus?

A) Diarrhea B) Hearing impairment C) Blindness D) Fatigue

Nursing

The nurse is reinforcing teaching provided to a patient prescribed captopril (Capoten). What should the nurse specifically include in instructions? (Select all that apply.)

a. Take medication with meals. b. Report any cough that develops. c. Use sunscreen to prevent photosensitivity. d. Check blood pressure weekly and report changes. e. Report to the laboratory weekly for laboratory follow-up. f. Report any swelling of the hands, feet, or tongue or difficulty swallowing.

Nursing