A young boy has just been diagnosed with Duchenne muscular dystrophy (DMD). The nurse evaluates that teaching has been effective when the parent makes which statement?

1. "We should avoid getting a wheelchair for as long as possible.".
2. "He should improve over time as the medication begins to take effect.".
3. "He should not have an influenza vaccine.".
4. "Even though his body is weak, his cognitive abilities should be normal.".


1
Rationale 1: It is desirable to encourage the child to remain mobile for as long as possible.
Rationale 2: Children with DMD generally get worse over time, despite medical treatment.
Rationale 3: Influenza and pneumonococcal vaccinations are an essential part of this child's therapy.
Rationale 4: About a third of boys with DMD have some progressive learning disability. Some develop mental retardation.

Nursing

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