A nurse is caring for a child with a diagnosis of Duchenne's muscular dystrophy (DMD). The nurse should recognize that which of the following accurately describes Duchenne muscular dystrophy (DMD)?
(Select All that Apply.)

DMD is an inherited X-linked recessive trait

Most Clients with DMD are wheelchair dependent by age 12

The disease leads to progressive muscle degeneration.

Clients with DMD are never able to ambulate independently.

Disease progression always requires hospitalization

Answer and Explanation

Correct Answer : A,B,C

A.   Duchenne muscular dystrophy is caused by a mutation in the dystrophin gene, which is X-linked, meaning it is passed down from carrier mothers to affected sons. It primarily affects boys.
B.   Children with DMD usually lose the ability to walk by the age of 12 due to progressive muscle weakness.
C.   DMD is characterized by the progressive degeneration and weakness of the skeletal muscles, leading to loss of function over time.
D.   While most children with DMD will become wheelchair-bound, some may be able to ambulate independently until the early teenage years, before losing the ability to walk.
E.   Hospitalization is not always required for DMD. Treatment may include outpatient therapies and management of symptoms. The need for hospitalization depends on complications.

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Correct Answer is C

Explanation

A. This is important for mobility, but after casting, the priority is to monitor for complications such as compartment syndrome, which can be life-threatening if not addressed.
B. While body image and emotional well-being are important, the priority immediately following a fracture and cast placement is physical monitoring for complications.
C. Worsening pain after a fracture or cast placement may indicate complications such as compartment syndrome, a medical emergency that requires prompt intervention. Monitoring for signs of increased pain is crucial.
D. Range of motion is a later consideration after ensuring the child does not have complications such as compartment syndrome. The priority is evaluating the affected limb for issues like worsening pain or signs of nerve damage.

A. A child with a fever due to a viral infection. B. A child recovering from surgery for a broken arm. C. A child with chicken pox. D. A child with history of asthma.

Correct Answer is D

Explanation

A. A child with a fever due to a viral infection may pose an infection risk to the immunocompromised leukemia patient.
B. A child recovering from surgery may have a wound or infection risk, which could also be a concern for a child receiving chemotherapy.
C. A child with chickenpox is highly contagious and should not be in the same room as an immunocompromised child.
D. A child with asthma is not immunocompromised and is less likely to pose an infection risk to a child undergoing chemotherapy.

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A nurse is caring for a child with a diagnosis of Duchenne's muscular dystrophy (DMD). The nurse should recognize that which of the following accurately describes Duchenne muscular dystrophy (DMD)? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 13-year-old with a tibia, fibula fracture, what is the priority assessment after a cast has been applied?

Correct Answer is C

Explanation

A nurse is admitting a child diagnosed with leukemia and is scheduled to receive chemotherapy for the Intensification stage of treatment. Which of the following clients should the nurse place in the same room with this child?

Correct Answer is D

Explanation

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A nurse is assessing a 5-month-old infant who has had a seizure and high pitched crying with a high fever. The nurse anticipates the need for which diagnostic testing?

A nurse is caring for a child with a diagnosis of Duchenne's muscular dystrophy (DMD). The nurse should recognize that which of the following accurately describes Duchenne muscular dystrophy (DMD)? (Select All that Apply.)

A nurse is caring for a 6-month-old Infant with a diagnosis of Tetralogy of Fallot (TOF) who is experiencing a hypercyanotic spell. The Infant is lethargic and has a weak cry. What is the priority nursing action for this Infant?

A nurse is caring for a child with a diagnosis of Duchenne's muscular dystrophy (DMD). The nurse should recognize that which of the following accurately describes Duchenne muscular dystrophy (DMD)?
(Select All that Apply.)