A client who has just been diagnosed with mixed muscular dystrophy asks the nurse about the usual course of this disease.
How should the nurse respond?
"You may experience progressive deterioration in all voluntary muscles.”.
"The strength of your arms and pelvic muscles will decrease gradually, but this should cause only slight disability.”.
"You should ask your health care provider about that.”.
"This form of muscular dystrophy is a relatively benign disease that progresses slowly.”. .
The Correct Answer is A
Choice A rationale
Mixed muscular dystrophy leads to progressive deterioration in all voluntary muscles, causing increasing disability over time.
Choice B rationale
This statement is incorrect because mixed muscular dystrophy affects more than just the arms and pelvic muscles and leads to significant disability.
Choice C rationale
This is not an appropriate response as it does not provide any information and deflects the client's question.
Choice D rationale
Mixed muscular dystrophy is not considered benign, as it causes significant and progressive muscle deterioration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Roth's spots are retinal hemorrhages with pale centers, indicative of certain systemic conditions, but do not relate to pupil response or parasympathetic effects.
Choice B rationale
One pupil being dilated while the other is normal could indicate a variety of issues, but not specifically a parasympathetic effect. This condition is known as anisocoria.
Choice C rationale
Dilated pupils, or mydriasis, are usually the result of sympathetic stimulation, not a parasympathetic effect, which involves constriction of the pupils.
Choice D rationale
Constricted pupils, or miosis, are a parasympathetic effect typically resulting from increased activity of the parasympathetic nervous system, which reduces pupil size.
Correct Answer is A
Explanation
Choice A rationale
The frontal lobe is responsible for various high-level cognitive functions, including the regulation of emotions and affect. It plays a crucial role in personality expression, decision-making, and moderating social behavior. Damage or dysfunction in the frontal lobe can lead to changes in personality and affect, including a flat affect.
Choice B rationale
The occipital lobe is primarily responsible for processing visual information. It is located at the back of the brain and is not involved in regulating emotions or affect. Therefore, it does not play a role in the client’s flat affect.
Choice C rationale
The parietal lobe is involved in processing sensory information such as touch, temperature, and pain. It also plays a role in spatial orientation and motor control. However, it is not directly involved in regulating emotions or affect. Thus, it does not contribute to the client’s flat affect.
Choice D rationale
The temporal lobe is involved in processing auditory information and is critical for memory and language comprehension. While it plays a role in emotion processing, it is not the primary lobe responsible for affect. The frontal lobe has a more direct impact on emotional regulation and affect.
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