The nurse caring for a child with Duchenne muscular dystrophy notes a characteristic manifestation, which is that the child:
a. Ambulates by holding onto furniture
b. Exhibits atrophy of the calf muscles
c. Falls frequently and is clumsy
d. Has delayed fine-motor development
C
The child with Duchenne muscular dystrophy is clumsy and falls frequently because of pseudohypertrophy of the calves and contractures of the ankles and hips.
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The nurse is providing preoperative care to a patient scheduled for an appendectomy. Which statement regarding pain control is most appropriate?
A) "There's no need to ask for pain medication, you'll receive it on a schedule." B) "Take your pain medication after walking so that you won't feel dizzy." C) "Take your pain medication before your pain becomes intense." D) "Use as little pain medication as possible to avoid addiction."
Which is a factor that contributes to the extent of an allergic response to an allergen?
a. The integrity of the skin b. The time of year in which one is exposed c. The amount of exposure d. Exposure to one's clothing
A nurse on a neurological unit is participating in the care of a female patient who is receiving treatment for a spinal cord injury (SCI) that she experienced 2 weeks ago
The patient's care plan specifies measures to prevent skin breakdown, and the nurse has planned several changes of position during the shift. How should the nurse best reposition this patient? A) Maintain a consistent position unless impending signs of skin breakdown are evident. B) Reposition the patient beginning with the upper extremities. C) Reposition the patient beginning with the lower extremities. D) "Log roll" the patient.
During an interview, the client states, "I feel so guilty, and I'm so ashamed of what I did." The nurse interprets this as which of the following?
A) Negative emotion B) Positive emotion C) Borderline emotion D) Nonemotion