A 58-year-old father and a 45-year-old mother gave birth to a baby boy 2 days ago. The nurse assesses a single palmar crease and low-set ears on the newborn
The nurse plans to counsel the couple about which of the following chromosomal abnormality? 1. Trisomy 13
2. Trisomy 18
3. Trisomy 21
4. Trisomy 26
3
Rationale:
1. A single palmar crease and low-set ears are characteristics of trisomy 21 (Down syndrome). They are not characteristics of trisomy 13 or trisomy 18.
2. A single palmar crease and low-set ears are characteristics of trisomy 21 (Down syndrome). They are not characteristics of trisomy 13 or trisomy 18.
3. A single palmar crease and low-set ears are characteristics of trisomy 21 (Down syndrome).
4. Trisomy 26 is not a chromosomal abnormality.
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A 29-year-old woman has been diagnosed with otosclerosis after several years of progressive hearing loss. What pathophysiological process has characterized her diagnosis?
A) New spongy bone has been formed around her stapes and oval window. B) Her incus, malleus, and stapes have become disconnected from her normal neural pathways. C) Her temporal bone is experiencing unusually rapid resorption. D) Her tympanic cavity is becoming filled with bone due to inappropriate osteogenesis.
A client with severe mental illness has been homeless for 3 years. He states he is a loner. He lost
contact with his family and is suspicious of anyone who approaches him. He has had several psychiatric admissions when his behaviors have been highly bizarre. When hospitalized he takes medication, but after discharge he is medication nonadherent and does not keep aftercare appointments. The client's lifestyle can be assessed as a. stable. b. compliant. c. socially isolated. d. interdependent.
The nurse will most likely prepare a medication teaching plan about antiretroviral therapy (ART) for which patient?
a. Patient who is currently HIV negative but has unprotected sex with multiple partners b. Patient who was infected with HIV 15 years ago and now has a CD4+ count of 840/µL c. HIV-positive patient with a CD4+ count of 160/µL who drinks a fifth of whiskey daily d. Patient who tested positive for HIV 2 years ago and now has cytomegalovirus (CMV) retinitis
In severely anemic patients, the nurse would expect to find:
A. dyspnea and tachycardia B. cyanosis and pulmonary edema C. cardiomegaly and pulmonary fibrosis D. ventricular dysrhythmia and wheezing