A patient is admitted with a purple rash on her eyelids and a slightly red rash on her face and neck. The patient tells the nurse that her muscles "hurt" and she fatigues easily
The nurse would conduct additional assessment for which condition? 1. Mitochondrial myopathy
2. Polymyositis
3. Dermatomyositis
4. Inclusion body myositis
3
Rationale 1: Symptoms of mitochondrial myopathy include muscle weakness, exercise intolerance, hearing loss, loss of balance and coordination, and seizures.
Rationale 2: Individuals diagnosed with polymyositis may have a rash, but the primary symptom is weakness in the upper and lower extremities.
Rationale 3: Dermatomyositis is an autoimmune disease that affects the small blood vessels and capillaries in muscles. A bluish-purple rash on the eyelids with redness of the face, chest, and neck are commonly seen. Muscle weakness and fatigue develop gradually over several months.
Rationale 4: Inclusion body myositis occurs primarily in men over age 50 and is characterized by asymmetrical muscle weakness.
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In caring for a chronic dialysis patient with an arteriovenous fistula, the nurse would
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