A child with suspected sickle cell disease is scheduled for a hemoglobin electrophoresis. When reviewing the child's history, what would the nurse identify as potentially interfering with the accuracy of the results?

A) Use of iron supplementation
B) Blood transfusion 1 month ago
C) Lack of fasting for 12 hours
D) History of recent infection


Ans: B
Blood transfusion within the previous 12 weeks may alter the results of the hemoglobin electrophoresis. Iron supplements can increase serum ferritin levels. Children should fast for 12 hours before having a specimen obtained for iron levels. A history of infection might interfere with the white blood cell count results, not hemoglobin electrophoresis.

Nursing

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A child with acute renal failure is being treated with peritoneal dialysis. Following medical orders, the dialysate has been infused into the child's abdomen. When the dialysate is drained, the nurse notes the following findings

Which finding requires notification of the physician? 1. The dialysate is clear on return. 2. The volume of drained dialysate is less than the volume infused. 3. The child is restless, wanting to get up and play. 4. The child's vital signs are basically the same as were noted on infusion.

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The nurse is caring for a patient in the ICU; hypotension may be anticipated when the patient's body produces insufficient quantities of what hormone?

A) Calcitonin hormone B) Antidiuretic hormone (ADH) C) Growth hormone D) Melanocyte-stimulating hormone

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A female college student with migraine headaches that cause nausea and vomiting has been prescribed trimethobenzamide (Tigan). It is important for the nurse to caution the student to avoid using what?

A) St. John's wort B) Calcium channel blockers C) Selective serotonin reuptake inhibitors (SSRIs) D) Alcohol

Nursing

The nurse is explaining to a family member about the causes of the client's symptoms of schizophrenia. The family member is concerned that the family caused the disease in the client. The nurse should teach the family member that:

1. the family is probably the cause of the disease. 2. there are no causes for schizophrenia. 3. the client might be experiencing an alteration of neurotransmitters. 4. the client's neurotransmitter levels are probably normal.

Nursing