A home health-care nurse is visiting a child with Duchenne's muscular dystrophy (MD). The child has a new cough, poor appetite, fatigue, and a reddened area on his coccyx from sitting in his wheelchair all day
What intervention by the nurse takes priority?
A.
Assess the child for his favorite high-protein foods.
B.
Develop a protocol for changing positions more often.
C.
Encourage the family to allow the child plenty of rest.
D.
Notify the health-care provider and request antibiotics.
ANS: D
All actions are appropriate; however, children with MD usually die of respiratory infections, so aggressive treatment at the first sign of a respiratory infection is warranted. The nurse should notify the health-care provider and request antibiotics.
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