A 23-year-old patient with a history of muscular dystrophy is ...

[ereecah]

A 23-year-old patient with a history of muscular dystrophy is hospitalized with pneumonia. Which nursing action will be included in the plan of care?
 
  a. Logroll the patient every 2 hours.
  b. Assist the patient with ambulation.
  c. Discuss the need for genetic testing with the patient.
  d. Teach the patient about the muscle biopsy procedure.

Question 2

The nurse instructs a patient who has osteosarcoma of the tibia about a scheduled above-the-knee amputation. Which statement by a patient indicates that additional patient teaching is needed?
 
  a. I will need to participate in physical therapy after surgery.
  b. I did not have this bone cancer until my leg broke a week ago.
  c. I wish that I did not have to have chemotherapy after this surgery.
  d. I can use the patient-controlled analgesia (PCA) to control postoperative pain.

[mfedorka]

Answer to Question 1

ANS: B
Because the goal for the patient with muscular dystrophy is to keep the patient active for as long as possible, assisting the patient to ambulate will be part of the care plan. The patient will not require logrolling. Muscle biopsies are necessary to confirm the diagnosis but are not necessary for a patient who already has a diagnosis. There is no need for genetic testing because the patient already knows the diagnosis.

Answer to Question 2

ANS: B
Osteogenic sarcoma may be diagnosed following a fracture, but it is not caused by the injury. The other patient statements indicate that patient teaching has been effective.