A 24-year-old patient with a 12-year history of Becker muscular dystrophy is hospitalized with heart failure. What is an appropriate nursing intervention for this patient?

Correct Answer: B

Rationale: The correct answer is B) Reposition frequently to avoid skin and respiratory complications. In a patient with Becker muscular dystrophy, muscle weakness and wasting are prominent features that can lead to immobility and complications like pressure ulcers and respiratory issues. Repositioning the patient frequently helps prevent skin breakdown and respiratory complications associated with prolonged immobility. Option A) Feed and bathe the patient to avoid exhausting the muscle is incorrect because these activities do not address the specific risks associated with Becker muscular dystrophy, and they may not necessarily prevent complications related to immobility. Option C) Provide hand weights for the patient to exercise the upper extremities is incorrect as it could exacerbate muscle weakness and fatigue in a patient with muscular dystrophy, potentially leading to further complications. Option D) Use orthopedic braces to promote ambulation and prevent muscle wasting is incorrect because in Becker muscular dystrophy, the use of orthopedic braces may not be appropriate due to the progressive nature of the disease and the risk of further muscle deterioration. In an educational context, understanding the specific care needs of patients with neuromuscular disorders like Becker muscular dystrophy is crucial for nurses to provide safe and effective care. By repositioning the patient frequently, nurses can help prevent complications associated with immobility, thereby improving the patient's overall quality of life and reducing the risk of secondary health issues.

Correct Answer: B

Rationale: The correct answer is B) Have periodic determination of serum uric acid levels. This is the most important action for a patient with gout undergoing drug therapy to prevent future attacks. Monitoring serum uric acid levels is crucial in assessing the effectiveness of the treatment and adjusting medications accordingly. By regularly checking these levels, healthcare providers can ensure that the patient's uric acid stays within the target range, reducing the risk of gout attacks. Option A) Avoid all foods high in purine, such as organ meats, is incorrect because while dietary modifications can help manage gout, it is not the most crucial aspect of treatment when compared to monitoring uric acid levels. Option C) Increase the dosage of medication with the onset of an acute attack is incorrect because adjusting medication dosage during an acute attack is not the standard approach to gout management. Preventive measures and long-term management are key in reducing the frequency and severity of attacks. Option D) Perform active range of motion (ROM) of all joints that have been affected by gout is incorrect because although exercise and mobility are important for managing gout symptoms, it is not the most critical action compared to monitoring serum uric acid levels for preventive care. In an educational context, understanding the rationale behind the correct answer helps students grasp the importance of ongoing monitoring in chronic conditions like gout. By emphasizing the significance of regular testing and clinical follow-up, healthcare providers can optimize patient outcomes and prevent complications associated with gout.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.