What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?

Exhibits atrophy of the calf muscles.

Has delayed fine-motor development.

Falls frequently and is clumsy.

Ambulates by holding onto furniture.

Answer and Explanation

The Correct Answer is C

C. Muscle weakness and lack of coordination contribute to difficulties with balance and coordination, leading to frequent falls and clumsiness in children with DMD.

A. DMD typically presents with symptoms such as difficulty climbing stairs, a waddling gait, and calf muscle hypertrophy, rather than atrophy.

B. Delayed fine-motor development is not a typical manifestation of Duchenne muscular dystrophy. DMD primarily affects muscle strength and function rather than fine motor skills.

D. Ambulating by holding onto furniture is not typical in Duchenne muscular dystrophy. As the disease progresses, children with DMD typically experience difficulty walking and may eventually require the use of assistive devices such as wheelchairs or orthoses for mobility.

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Correct Answer is A

Explanation

A. Ice pops are often recommended after tonsillectomy to help soothe the throat and provide hydration.

B.Although ice cream is cold and can soothe the throat, it is not the best option immediately after surgery. Dairy products, including ice cream, can sometimes lead to increased mucus production, which could irritate the throat and make swallowing more difficult during the healing process.

C. Offering hot tea is not recommended immediately following a tonsillectomy. Hot beverages, including tea, can increase the risk of bleeding and discomfort at the surgical site.

D. Cranberry juice is not an appropriate choice immediately post-tonsillectomy. While hydration is essential for recovery, acidic or tart beverages like cranberry juice may irritate the surgical site and increase discomfort.

A. Bluish-green discharge from the ear canal B. Increase in appetite C. Erythema and edema of the affected auricle D. Tugging on the affected ear lobe

Correct Answer is D

Explanation

D. Tugging or pulling on the affected ear lobe is a classic sign of otitis media in infants. The discomfort or pain caused by inflammation and pressure in the middle ear may lead the infant to tug or rub the affected ear in an attempt to alleviate discomfort.

A. Bluish-green discharge from the ear canal is not a typical finding in otitis media. Otitis media is characterized by inflammation and fluid accumulation in the middle ear, which may not result in discharge unless there is a secondary bacterial infection or perforation of the eardrum.

B. An increase in appetite is not a typical finding in otitis media. In fact, many children with otitis media may experience a decrease in appetite due to discomfort, pain, and difficulty swallowing or chewing.

C. Erythema (redness) and edema (swelling) of the affected auricle (outer ear) are not typically associated with otitis media. Otitis media primarily affects the middle ear, where inflammation and fluid accumulation occur behind the eardrum.

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What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative immediately following a tonsillectomy. Which of the following snacks should the nurse offer the client?

Correct Answer is A

Explanation

A nurse is collecting data from an infant who has otitis media. The nurse should expect which of the following findings?

Correct Answer is D

Explanation

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What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?