A nurse is caring for a client who is threatening to commit suicide. Which of the following questions should the nurse ask?

Muscular dystrophies are disorders associated with progressive degeneration of muscles, resulting in relentless and increasing weakness.
This is a general description of muscular dystrophy, a group of genetic diseases that affect different types of muscles and cause various degrees of disability.
Children with muscular dystrophy may experience frequent falls, difficulty walking or running, muscle pain, learning difficulties, and breathing problems.
There is no cure for muscular dystrophy, but treatments can help manage symptoms and slow down the progression of the disease.
Choice B.
The extent of degeneration depends on performing daily physical therapy is incorrect, as physical therapy cannot prevent or reverse the degeneration of muscles caused by muscular dystrophy.
Physical therapy can help maintain muscle strength and flexibility, prevent contractures and deformities, and improve mobility and function.
Choice C.
The child will be able to function normally and require no special accommodations is incorrect, as muscular dystrophy affects the child’s ability to perform daily activities and may require assistive devices, such as braces, wheelchairs, or ventilators.
The child may also need special education services, occupational therapy, speech therapy, or psychological counseling to cope with the disease.
Choice D.
The weakness that the child is currently experiencing will probably not increase incorrectly, as muscular dystrophy is a progressive disease that causes muscle weakness to worsen over time.

The rate and severity of progression may vary depending on the type and subtype of muscular dystrophy.
Therefore, choice A is the best answer to this question.

Choice A reason:
Placing traction weights so they touch the head of the bed disrupts the effectiveness of the traction system. Skeletal traction relies on a continuous pulling force to maintain proper alignment of the fractured femur. If the weights are resting on any surface, the force is interrupted, which can lead to complications such as malunion or delayed healing. The weights must hang freely at all times to ensure therapeutic benefit.

Choice B reason:
Isometric exercises are beneficial for maintaining muscle tone and promoting circulation during immobilization. However, while this is a supportive intervention, it is not the most critical or immediate nursing action in the context of skeletal traction. Encouraging exercises every 8 hours is appropriate, but it does not directly address the most urgent or discomfort-related aspect of care.

Choice C reason:
Pin care is a routine but potentially painful procedure associated with skeletal traction. Administering pain medication beforehand is a priority nursing action because it ensures client comfort, reduces anxiety, and promotes cooperation during the procedure. This intervention reflects both compassionate care and adherence to best practices in pain management and infection prevention.

Choice D reason:
Repositioning a client in skeletal traction must be done with extreme caution to avoid disrupting the traction setup. Assisting the client to shift position every 4 hours may inadvertently alter the alignment or tension of the traction apparatus. While pressure injury prevention is important, repositioning must be coordinated carefully and is not the most appropriate standalone action in this context.