A 23-year-old patient with a history of muscular dystrophy is hospitalized with pneumonia. Which nursing action will be included in the plan of care?
a. Logroll the patient every 2 hours.
b. Assist the patient with ambulation.
c. Discuss the need for genetic testing with the patient.
d. Teach the patient about the muscle biopsy procedure.
ANS: B
Because the goal for the patient with muscular dystrophy is to keep the patient active for as long as possible, assisting the patient to ambulate will be part of the care plan. The patient will not require logrolling. Muscle biopsies are necessary to confirm the diagnosis but are not necessary for a patient who already has a diagnosis. There is no need for genetic testing because the patient already knows the diagnosis.
You might also like to view...
The home health nurse is caring for a client with scabies. When instructing on the proper procedure to wash preworn contaminated clothing, which nursing instruction is essential?
A) Use commercial grade laundry detergent. B) Pretreat clothing where scabies contact existed. C) Wash clothes through two laundry cycles. D) Use hot water throughout wash cycle.
A pregnant patient at 5 weeks' gestation reports slight amount of vaginal bleeding. The clinician should recognize that the following laboratory test should be done:
A. Serial HCG levels over the next several days B. Measurement of estrogen levels C. Cervical mucus analysis D. Pap smear for sexually transmitted infection
A client tells the nurse that he believes he is not just religious but also spiritual even though he participates in religious rituals. The client is describing which characteristic of spirituality?
a. Relationship with the self b. Relationship with a higher power c. Harmony with nature d. Relationship with others
Why has there been an increasing emphasis on caring for chronically ill children in their homes rather than in the hospital?
A. Hospitalized children are at risk for contracting a nosocomial infection and do not cope well with all the noise, light, and people. B. Insurance will not pay for children to stay in the hospital, but they will pay for home care. C. It is too dangerous to use unlicensed assistive personnel to staff pediatric units and too expensive to hire professional nurses. D. There are not enough expert pediatric nurses to staff additional pediatric units.