Turning point questions exam 2 H&I

Which pedigree symbol represents a normal male? 1. colored circle 2. colored square 3.blank circle 4. blank square

4. blank square colored =affected blank= normal circle = female square = male

As the nurse for the following patients, who do you anticipate will need a referral to a genetic counselor? (Select all that apply) A.Parent of a child with Cystic Fibrosis B.30 yr old with Type 2 Diabetes C.21 yr old with developmental delays D.40 yr old that developed a pulmonary embolism after surgery

A + C •Parent with a CF child and 21yr old with developmental delays will need a referral to a genetic counselor. •B and D are adult onset and are not appropriate for a referral to a genetic counselor

Which parameters would the nurse assess while monitoring a patient for the development of disseminated intravascular coagulation (DIC) disorder? Select all that apply. A. Fibrinogen levels B. Blood urea nitrogen levels C. Red blood cell count (RBC) D. White blood cell count (WBC) E. Partial thromboplastin time (PTT)

A and E

You review the lab work drawn on V.L. Select those results that are abnormal as a result of V.L.'s condition. There are 6 correct answers. A. Hbg 9.8 mg/dL B. Hct 27% C. Reticulocyte count 90,000/µL D. WBC 14,000 µ/L E. pH 7.41 F. PaCO2 38 G. HCO3 22 H. PaO2 74 mmHG I. SaO2 85%

A, B, C, D, H, I

Which factors put a patient at risk for developing acute disseminated intravascular coagulation (DIC)? Select all that apply. A. Septicemia B. An extensive burn C. Abruptio placentae D. Severe head trauma E. Stroke

A,B,C,D stroke is from lack of oxygen supply to brain ! DIC starts from clots

A patient diagnosed with moderate to severe Alzheimer's disease (AD) is being discharged home. Which instructions by the nurse are mostappropriate to give to the caregiver(s)? Select all that apply. A."Be aware that pain may be manifested in changes in behavior." B."Be alert to any changes in behavior, fevers, cough, or urinary pain." C."If the patient wanders away and cannot be found within an hour, call 911." D."Check that the patient swallows the food that is chewed because patients with AD can have difficulty swallowing." E."A reduced-calorie diet is preferred because after the primary stage of the disease, AD patients tend to gain too much weight."

A,B,D

V.L.'s is ready for discharge, which teaching point will the nurse provide? (Select all that apply.) A. Be sure to get a flu shot annually. B. Drink at least 3 to 4 L of fluid daily .C. Alcoholic beverages may be consumed moderately. D. Get genetic testing to prevent passing this disease to children. E. Engage in mild low-impact exercise three times weekly when not in crisis.

A,B,E genetic testing is very personal choice and should not be emphasized

The nurse is providing care to a patient with Alzheimer's disease (AD) who is hospitalized for an appendectomy. Which actions are appropriate when providing care to the patient? Select all that apply. A.Providing reassurance to the patient B.Using restraints to prevent wandering C.Assessing closely for safety concerns D.Orienting frequently to place and time E.Alternating staff assigned to the patient

A,C,D

Which factors would the nurse consider risk factors for developing Alzheimer's disease? Select all that apply. A.Aging B.Viral infection C.Family history D.Diabetes mellitus E.Irritable bowel disease

A,C,D

Which of these strategies are appropriate to manage GI dysfunction that CF patients often experience? Select all that apply A. Administer pancreatic enzymes with meals and snacks B. Restrict fat intake C. Encourage a high-protein diet D. Encourage snacks between meals

A,C,D Pancreatic enzyme replacement is the primary treatment for pancreatic insufficiency. Pancreatic insufficiency is the primary cause of malabsorption in patients with CF. It results in poor digestion and poor absorption of fat, protein, carbohydrates, and the fat-soluble vitamins A, D, E, and K. These are administered with meals and snacks to ensure that they are digested with the food in the duodenum. Fat intake is not generally restricted because of the impaired absorption. Because of the increased caloric needs, snacks are encouraged.

Which family history questions should the nurse ask to determine a patient's risk for developing a genetic disease? (Select all that apply) A."Are there any diseases that occurred at an earlier age than expected?" B."Are there any diseases that cause severe and debilitating symptoms?" C."Are there any diseases in the family that generally affect only one gender?" D."Are there any diseases that affect more than one first-degree or close relative?"

A,C,D does not determine symptoms or severity of symptoms

what is contributing to increase in pancreas and liver cancer

alcohol and obesity

Which manifestation of malabsorption is associated with folic acid deficiency? A. Tetany B. Anemia C. Night blindness D. Muscle wasting

anemia folic acid and vitamin B12

The nurse is teaching a group of community members about fire safety. A participant asks, "What should I do if I get hot grease burn on my hand?" Which statement is the nurse's best response? A. "Apply an ice pack directly to the hand. "B. "Place the hand under cool tap water." C. "Put burn ointment on the hand." D. "Go immediately to the doctor's office."

"B. "Place the hand under cool tap water."

Which statement made by a student nurse indicates the need for additional teaching regarding the etiology and pathophysiology of disseminated intravascular coagulation (DIC)? A. "It is stimulated by a disease process or disorder." B. "Bleeding occurs as a result of depletion of platelets." C. "It results from the surplus production of clotting factors." D. "DIC results from abnormally initiated and accelerated clotting

"Bleeding occurs as a result of depletion of platelets."

The nurse has received the morning shift report on a medical surgical unit. Which patient should the nurse assess first? A. The patient who is 6 hours postop small bowel resection who has hypoactive bowel sounds. B. The patient who is scheduled for an abdominal peritoneal resection this morning & is crying. C. The patient who is 1 day postop for abdominal surgery & has a rigid, hard abdomen. D. The patient who is 2 days postop for emergency appendectomy & is reporting abdominal pain, 8 (1-10 scale).

.C. The patient who is 1 day postop for abdominal surgery & has a rigid, hard abdomen.

L.V. continues to have pain (9/10) with the IVP morphine PRN. What action would the nurse take? A. Contact the doctor, for possible PCA pump. B. Give the PRN dose of morphine early. C. Apply cold compress over painful joint D. Encourage ambulating twice around unit.

A. Contact the doctor, for possible PCA pump. never put a cold compress (causes vasoconstriction)

In considering the genetics of sickle cell anemia, you understand that V.L.'s inheritance of sickle cell anemia could have occurred A. If both of her parents had 1 gene for the HgSS B. if both of her parents have the CFTR gene. C. if one of her parents had the gene for HgSS. D. if one of her parents have the CFTR gene and one did not.

A. If both of her parents had 1 gene for the HgSS

Which part of a burn is the site of greatest heat transfer and has been damaged most severely? A. Zone of coagulation B. Zone of hyperemia C. Zone of stasis D. Peripheral zone

A. Zone of coagulation

A pregnant woman expresses concern to the nurse about the potential for cystic fibrosis in her children and plans to use a home genetic test. Which action would the nurse take? a) Tell her that she needs to discuss the issue with a genetic counselor. b) Inform her about the at-home genetic test kits available in the market. c) Educate her on how to read and interpret the results of the genetic test. d) Explain to her how to take the sample and mail it back to the laboratory.

A. a) Tell her that she needs to discuss the issue with a genetic counselor. Rationale: The nurse should tell the patient to discuss the issue of genetic testing with her health care provider or a genetic counselor. Without appropriate counseling, there are chances that the patient could be misled or misinformed by the results of unproven or invalid tests, resulting in wrong decisions. The nurse should not encourage self-directed testing. The sample may not be properly collected when self-testing at home. A health care provider should be consulted so that important decisions can be made based on accurate information.

During the early emergent (resuscitative) phase of burn injury, the patient's laboratory results would most likely be Present? A. ↑ Hct, ↓serum Na, ↑ serum K+ B. ↓ Hct, ↑ serum Na, ↓ serum K+ C. ↓ Hct, ↑ serum Na, ↑ serum K+ D. ↓ Hct, ↓serum Na, ↓ serum K+

A. ↑ Hct, ↓serum Na, ↑ serum K+ Hematocrit goes up bc of hemoconcentration

who has the highest death rate for cancer for females

African American females

which group has the highest cancer incident rate?

African American males

A patient with cystic fibrosis (CF) may experience which conditions? Select all that apply A.Increased risk for obesity B.Recurring lung infections C.Decreased life expectancy D.Abundant bronchial mucus

B,C,D

When providing community health care teaching regarding the early warning signs of Alzheimer's disease, which key signs would the nurse advise family members to report? Select all that apply. A.Misplacing car keys B.Losing sense of time C.Difficulty performing familiar tasks D.Problems with performing basic calculations E.Becoming lost in a usually familiar environment

B,C,D,E misplacing keys is a common thing

The nurse assesses a patient with disseminated intravascular coagulation (DIC) and expects to find which signs of hemorrhage? Select all that apply. A. azotemia B. Hemoptysis C. Hypotension D. Focal ischemia E. Abdominal distention

B,C,E

The nurse provides education to a patient with hemophilia about safety measures. Which statements made by the patient indicate an understanding of the teaching? (Select all that apply). A. "I should participate in contact sports." B. I should wear a Medic Alert tag wherever I go." C. "I should wear gloves while doing household chores." D. I should carry an epinephrine injection wherever I go." E. "I should immediately consult my health care provider after severe injury."

B,C,E

A patient with a platelet count of 50,000/mm3 is diagnosed with thrombocytopenia. The nurse would expect which clinical manifestations? (Select all that apply. A. Weakness B. Bruising C. Dizziness D. Vomiting E. Petechiae

B. Bruising E. Petechiae platelet count is 50,000 so do not except spontaneous bleeding (its less then 20,000)

A patient with sepsis develops petechiae, ecchymosis, mucosal oozing, hematuria, and a prolonged prothrombin time (PT) and activated partial thromboplastin time (aPTT). What is the most likely cause of these findings? A. Sickle cell anemia (SCA) B. Disseminated intravascular coagulation (DIC) C. Heparin induced thrombocytopenia (HIT) D. Tumor lysis syndrome (TLS)

B. Disseminated intravascular coagulation (DIC)

The nurse would recognize which as clinical manifestations of a lower airway lung injury associated with burns? (Select all that apply). A. Blisters B. Dyspnea C. Wheezing D. Altered mental status

B. Dyspnea C. Wheezing D. Altered mental status

An increase in body temperature without other manifestations of infection in a patient with large burn wounds during the acute stage indicates infection. A. True B. False

B. False

The nurse says, "I understand you have sickle cell disease". L.V. states, "I think I'm having a sickling episode. I have a lot pain and I want to get rid of this pain now." The nurse says, I'm going to get some oxygen, start an IV, throat culture, and draw some blood work".The ER physician ordered administration of D5/.45 NaCl at 125 mL/hr, oxygen at 6 L/min via nasal cannula, morphine 2 mg IVP PRN, and 650 mg acetaminophen orally. Of these orders, which is the highest priority to prevent complications related to sickling in this case? A. Oxygen B. IV fluids C. Morphine D. Acetaminophen

B. IV fluids?? treatment for sickle cell crisis: HOP Hydration Oxygenation Pain relief always look at symptoms and labs though,if pt has a low SpO2 % you want to make oxygen your priority

A patient is admitted to the burn unit with burns to the head, face, and hands. Initially, wheezes are heard, but an hour later, the lung sounds are decreased, and no wheezes are audible. What is the best action for the nurse to take? A. Encourage the patient to cough and auscultate the lungs again. B. Notify the health care provider and prepare for endotracheal intubation. C. Document the results and continue to monitor the patient's respiratory status. D. Reposition the patient in high-Fowler's position and reassess breath sound.

B. Notify the health care provider and prepare for endotracheal intubation.

A child with cystic fibrosis does not like taking a pancreatic enzyme supplement with meals and snacks. The most important reason the child is to take the pancreatic enzyme with meals and snacks is? A.The child ill become dehydrated if the supplement is not taken with meals and snacks. B.The child needs these pancreatic enzymes to help the digestive system absorb fats, carbs and proteins. C.The child needs the pancreatic enzymes to aid in liquefying mucus to keep the lungs clear. D.The child will experience severe diarrhea if the supplement is not taken as prescribed.

B.The child needs these pancreatic enzymes to help the digestive system absorb fats, carbs and proteins.

Which nursing intervention would the nurse use with a patient who has been diagnosed with the mild cognitive impairment stage of Alzheimer's disease? A.Treat disruptive behavior with antipsychotic drugs. B.Use a calendar and family pictures as memory aids. C.Use a writing board to communicate with the patient. D.Use a wander guard mechanism to keep the patient in the area.

B.Use a calendar and family pictures as memory aids. •The patient with mild cognitive impairment will have problems with memory, language, or other essential cognitive functions that are severe enough to be noticeable to others but that do not interfere with activities of daily living. A calendar and family pictures for memory aids will help this patient. This patient should not have disruptive behavior yet or get lost easily. Using a writing board will not help this patient with communication.

Which instructions would the nurse include when teaching a group of caregivers to manage a patient in a late stage of Alzheimer's disease? Select all that apply. A.Do not correct misstatement B.Get the person to stop driving C.Provide a regular schedule for toileting D.Continue communication through talking and touching E.Register with the Alzheimer's Association Safe Return

C,D In the late stage of Alzheimer's disease, the patient has profound loss of memory and cognition and may be confined to bed. The patient requires help in activities of daily living. The patient should be provided with a regular schedule for toileting to reduce incontinence. Communication should be done through talking and touching. Not correcting misstatements and registering with Alzheimer's Association Safe Return are appropriate interventions when the patient is in earlier stages, but by the late stages, they usually don't apply because the patient's abilities to talk and wander are highly impaired. Getting the patient to stop driving is also an appropriate intervention in earlier stages, but irrelevant in late stages because by this time the patient's impairments have long since precluded driving.

The nurse would monitor a patient with thrombocytopenia for which major complication? A. Fatigue B. Weakness C. Hemorrhage D. Abdominal pain

C. Hemorrhage

The nurse is caring for patients on the burn unit. After the shift report, which patient should the nurse assess first? Patient diagnosed with: A. full & deep partial-thickness burns who has pain rated 8 on 1-10 pain scale. B. full-thickness burns who has a urinary output of 235 mL in the past 8 hours. C. full-thickness burns on the chest who is having difficulty breathing .D. full-thickness burns to the right leg with diminished pedal pulse.

C. full-thickness burns on the chest who is having difficulty breathing

A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis (CF). Which of the following responses by the parents indicates an understanding of the teaching? A."I will limit my child's fluid intake." B."We will restrict the amount of salt in our child's food." C."We will give our child pancreatic enzymes with snacks and meals." D."I will prepare low-fat meals with limited protein for my child."

C."We will give our child pancreatic enzymes with snacks and meals."

A nurse in a long-term care facility is caring for a patient with Alzheimer's disease. The patient, who is usually cooperative and calm, is agitated and refusing care from the nursing assistant. Which action would the nurse do first? A.Notify the health care provider and obtain a medication to treat the agitation B.Notify the patient's family and ask if someone could come in and sit with the patient C.Perform a physical assessment, including vital signs and signs of pain D.Ask the nursing assistant to distract the patient with an activity

C.Perform a physical assessment, including vital signs and signs of pain Initially, the nurse should assess the patient's physical status to determine whether the patient is experiencing some physical ailment. Consider that the patient's dementia limits the ability to express needs.

A 72-year-old female patient is brought to the clinic by the patient's spouse, who reports that she is unable to solve common problems around the house. To obtain information about the patient's current mental status, which question should the nurse ask the patient? A."Are you sad?" B."How is your self image?" C."Where were you born?" D."What did you eat for breakfast?"

D

When monitoring initial fluid replacement for the patient with 40% TBSA deep partial-thickness and full-thickness burns, which finding is of most concern to the nurse? A. Serum K+ of 4.5 mEq/L B. Urine output of 35 mL/hr C. Decreased bowel sounds D. Blood pressure of 86/50 mmHg

D. Blood pressure of 86/50 mmHg

Which therapy should the nurse expect to be prescribed first by the healthcare provider for a patient who is bleeding from acute disseminated intravascular coagulation (DIC)? A. Aspirin .B. Whole Blood. C. Low molecular weight heparin D. Fresh frozen plasma.

D. Fresh frozen plasma.

The nurse is carefully monitoring a postpartum patient who experienced abruptio placentae for which sign of DIC? A. Pain and swelling in the leg B. Rapid clotting times C. Increased platelet levels D. Oozing from the injection sites

D. Oozing from the injection sites

Which patient is most likely to experience hemophilia? Patient finding of: A. Bleeding time is 7 minutes B. Prothrombin time (PT) is 12 seconds C. Platelet level is 150,000/ mm3 D. Partial thromboplastin time (PTT) is 90 seconds

D. Partial thromboplastin time (PTT) is 90 seconds normal PTT (60-70 seconds) normal bleeding time is 1-9 minutes !!

The spouse of a patient, just diagnosed with Alzheimer's disease in the mild stage, asks the nurse how to plan for the future and make treatment decisions. Which response by the nurse is appropriate? A."Medicine is researching treatments for Alzheimer's disease actively, and a cure may be near." B."Discussing advanced directives may cause the Alzheimer's disease to progress more quickly." C."Disease progression is uniform, and decisions about treatment can be made after the patient is comfortable with the diagnosis." D."Health care decisions, including advanced directives, should be made while the patient is able to participate in the decision making."

D."Health care decisions, including advanced directives, should be made while the patient is able to participate in the decision making."

A nurse cares for a patient with a burn injury who presents with drooling and difficulty swallowing. What action would the nurse take first? Auscultate breath sounds over the trachea and bronchi Assess the level of consciousness and pupillary reactions Ascertain the time food or liquid was last consumed Measure abdominal girth and auscultate bowel sounds

Rationale: Inhalation injuries are present in 7% of patients admitted to burn centers. Drooling and difficulty swallowing can mean that the patient is about to lose his or her airway because of this injury. Absence of breath sounds over the trachea and bronchi indicates impending airway obstruction and demandsimmediate intubation. Knowing the LOC is important in assessing oxygenation to the brain. Ascertaining the last time of food intake is important in case of intubation. However, assessing for air exchange is the most important intervention at this time. Measuring abdominal girth is not relevant in this situation.

The nurse recognizes that parenteral nutrition (PN) may be the only feasible option for patients with which conditions? (Select all that apply). short bowel syndrome Nonfunctioning gastrointestinal (GI) tract Head cancer Facial swelling

Rationale: PN may be the only feasible option for patients who do not have a functioning GI tract or who have disorders requiring complete bowel rest, such as some stages of ulcerative colitis, bowel obstruction, certain pediatric GI disorders (such as congenital GI anomalies, prolonged diarrhea regardless of its cause), and short bowel syndrome due to surgery. Head cancer is not an indication for PN. Facial swelling may or may not prevent a patient from consuming food through the oral route.

The nurse provides care for a patient who is diagnosed with short bowel syndrome (SBS) would expect which assessment finding? Polyphagia Urinary retention Steatorrhea Nocturia

Rationale: SBS is a condition in which the small intestine does not have adequate surface area to absorb enough nutrients. The predominant manifestations of SBS are diarrhea and steatorrhea, which occur because of unabsorbed fat in the stool. SBS is not associated with nocturia, polyphagia, and urinary retention.

Which precautions would the nurse take when performing wound care on a burn patient? (Select all that apply). The nurse uses sterile gloves when applying sterile dressings. The nurse uses nonsterile gloves when applying ointments. The nurse wears the same gown and masks for all patients. The nurse wears personal protective equipment. The nurse uses nonsterile gloves when removing contaminated dressings.

Rationale: The nurse wears personal protective equipment, such as a disposable gown, mask, and gloves, to prevent the spread of infection. The nurse uses sterile gloves when applying sterile dressings to prevent infection. The nurse uses nonsterile gloves when removing contaminated dressings for self-protection. The nurse should not wear the same gown and masks for all patients to avoid cross-contamination. It is necessary to wear new equipment before treating a new patient. The nurse should not necessarily use nonsterile gloves when applying ointments. Because the wound is open, sterile gloves should be used to prevent contamination.

Which clinical manifestations would the nurse anticipate while caring for a patient with third-degree burns (full thickness)? (Select all that apply). Fluid-filled vesicles Hard, leathery skin Red and painful Insensitivity to pain Mild to moderate edema

Rationale: Third-degree burns cause full-thickness skin destruction. Clinical manifestations include hard, leathery skin and insensitivity to pain due to nerve destruction. Erythema is observed in first-degree burns. Second-degree burns are characterized by fluid-filled vesicles and mild to moderate edema.

The nurse is planning care for a patient with acute myeloid leukemia (AML). Which diagnoses are priorities for this patient to minimize the risk of complications associated with AML? (Select all that apply). a) risk for bleeding b) Fluid volume excess c) Imbalanced nutrition, more than body requirements d) Ineffective thermoregulation e) risk for infection

Risk for bleeding Risk for infection AML results in neutropenia (decreased neutrophils = risk of infection) and thrombocytopenia (decreased platelets, which leads to increased risk of bleeding). Therefore, actions to minimize these risks are priorities when caring for clients with AML. A patient with AML does not have a problem with fluid shifts, edema, heat intolerance, or weight gain that would require nursing intervention

A nurse is caring for a client who is postoperative following a right-sided mastectomy and has a drain connected to a portable drainage evacuator. Which of the following actions should the nurse? a) Take blood pressures on the patient's non-affected arm b) Dangle the operative limb for 5 minutes every hour c) Place the head of bed at a 15 degree angle d) Keep the wound drain evacuator always expanded

Take blood pressures on the patient's non-affected arm Rationale: The nurse should plan to only take blood pressures, give injections, or perform venipuncture on the client's non-affected arm to avoid compromising circulation. The nurse should instruct other staff to follow these precautions as well. The nurse should plan to keep the operative limb elevated on a pillow while the client is awake, to promote return of lymphatic fluid and prevent edema. The nurse should elevate the head of the client's bed at least 30° to promote breathing. The nurse should plan to collapse the drain evacuators and seal it to create constant, low pressure suctioning, which will pull drainage from the wound.

what recommendations would the nurse give to prevent cancer (primary prevention) Select all that apply: a) eat a high diet with fruits and veggies b) maintain a healthy weight c) get regular physical excersise d) have an annual exam by provider e) schedule screening tests at the right age

a) eat a high diet with fruits and veggies b) maintain a healthy weight c) get regular physical excersise

A patient with cystic fibrosis (CF) may experience which conditions? (Select all that apply). a) decreased life expectancy b) reoccurring lung infections c) tons of bronchial mucus d) obesity

a, b, c, CF pts have trouble with weight gain !!

A patient who has severe Alzheimer's disease (AD) is being admitted to the hospital for surgery. Which intervention will the nurse include in the plan of care? a) Encourage the patient to discuss events from the past. b) Maintain a consistent daily routine for the patient's care. c) Reorient the patient to the date and time every 2 to 3 hours. d) Provide the patient with current newspaper and magazines.

b) Maintain a consistent daily routine for the patient's care Providing a consistent routine will decrease anxiety and confusion for the patient. Reorientation to time and place will not be helpful to the patient with severe AD, and the patient will not be able to read. The patient with severe AD will probably not be able to remember events from the past.

A 10-year-old male with acute lymphocytic leukemia is admitted to the hospital. What is the appropriate room assignment? a) Semi-private room, so if the patient bleeds the roommate can call the nurse b) Private room to protect the patient from infections from a roommate c) Private room, so the patient will not be exposed others to bodily fluids d) Semi-private room, so the patient will not feel alone

b) Private room to protect the patient from infections from a roommate Rationale: Patients with acute lymphocytic leukemia have an impaired immune system (WBCs are immature and nonfunctioning). They should be placed in private rooms and all food should be cooked. Other symptoms to look for are, low platelet count (thrombocytopenia) leading to bleeding/bruising, low RBCs (anemia).

A patient is awaiting the results of genetic testing. Which patient statement requires immediate nursing intervention? a) "I have brought my mother with me to hear the results." b) "Getting these results is making me feel anxious." c) "I don't know what I will do if the results are positive." d) "The testing results will help me make informed health choices."

c) "I don't know what I will do if the results are positive." Rationale: The nurse should always be aware of patient indication that he or she has a degree of psychological instability or could accomplish self-harm. In the case of a patient undergoing genetic testing, it is important that the patient understand and be prepared for possible psychological, social, and/or familial risks. The nurse should immediately intervene to investigate further the patient's statement about not knowing what to do if the results are positive.

what is the only definitive way to diagnose cancer? a) genetic analysis b) radiology images and x-rays c) pathologic evaluation d) endoscopic examination

c) pathologic evaluation biopsy - grab tissue to verify

Which assessment finding in a patient with severe neutropenia requires immediate action by the nurse? a) Patient reports nausea and anorexia b) Patient reports fatigue c) BP is 106/72 mm Hg d) Oral temperature is 100.5° F (36.7° C).

d) Oral temperature is 100.5° F (36.7° C). A low-grade fever in neutropenic patients is of great significance because it may indicate infection and lead to septic shock and death unless treated promptly. Neutropenic fever (greater than 100.4° F [38.1° C]) in a severely neutropenic patient is a medical emergency. Patients who have had chemotherapy induced neutropenia may experience nausea, anorexia, and fatigue. These symptoms may be treated; however, they are not the priority. The BP is normal.

Which diagnostic finding would the nurse expect to find in a patient with acute disseminated intravascular coagulation (DIC) who experiences bleeding? A. Elevated D-dimer B. Elevated fibrinogen C. Reduced prothrombin time (PT) D. Reduced fibrin degradation products (FDPs)

elevated D-dimer

Can males with hemophilia A or B transmit the defective gene to a son? A. True B. False

false it is X linked, fathers can only give Y not X, father could transfer it to the daughter males (XY) females (XX)

most cancers are causes by genetic mutations true or false

false only 10% are causes by inherited mutations

You can rely on a pulse oximetry reading to solely determine oxygen saturation in a patient with carbon monoxide (CO) poisoning. A. True B. False

false, CO binds with hemoglobin and displaces O2 so it will not be accurate .

The doctor orders hydroxyurea. When the you go to administer the drug, the V.L. asks about the purpose of this medication. What would you say? What follow-up lab value will you monitor while the patient is receiving hydroxyurea?

helps to reduce the sickling of RBCS, decreases painful criss, - monitor CBC and plaeltetes bc it suppresses bone marrow function

Name a possible complication of DIC

hemmorhage

what is leading cause of death of patients with cancer?

infection?

what is the most common cancer death for females

lung

The nurse is developing a program for the type of cancer with the highest incidence among males. Which type of cancer will the nurse focus the program? a) Prostate Cancer b) Colon Cancer c) Lung Cancer d) Thyroid Cancer

prostate Among all the cancers in men, prostate cancer has the highest incidence (19%). Lung cancer has the highest death rate among men (26%). The incidence of colon cancer in males is 9%. Thyroid cancer is more common in women than men.

Couples in which both partners are carriers of the disease-causing CF mutations have a 1 in 4 risk of having a child with CF. a) true b) false

true

Cystic fibrosis is the most common life-shortening genetic disease among whites in the U.S.'s. a) true b) false

true

When tap water reaches 140º F, it can cause a third degree (full thickness) scald burn in just 5 seconds. A. True B. False

true water should be set at 120-130F at most water causes 3rd degree burns

What 2 minerals are coagulation factors dependent on?

vitamin K and calcium