A neonate is diagnosed with having an inborn error of metabolism. The nurse knows which of the following disorders could be caused by this problem:
a. A missing limb
b. Congenital hip dysplasia
c. Cystic fibrosis
d. A malformed fist
C
The other answers are all abnormalities of structure. Cystic fibrosis is the only metabolic error listed.
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A newborn is diagnosed with tetralogy of Fallot. When explaining this condition to the client, the nurse would include which of the following defects?
A) Atrial septal defect B) Stenosis of the aorta C) Overriding of the aorta D) Left ventricular hypertrophy
The following outcome was developed for a client: "Client will list five personal strengths by the end of day 1." Which correctly written nursing diagnostic statement most likely generated the development of this outcome?
A. Altered self-esteem R/T years of emotional abuse AEB self-deprecating statements B. Self-care deficit R/T altered thought processes C. Disturbed body image R/T major depressive disorder AEB mood rating of 2/10 D. Risk for disturbed self-concept R/T hopelessness AEB suicide attempt
The nurse administers a medication that potentiates the action of gamma-aminobutyric acid (GABA). Which effect would be expected?
a. Reduced anxiety b. Improved memory c. More organized thinking d. Fewer sensory perceptual alterations
What is considered a positive diagnostic finding of a tensilon test?
a. after the cholinesterase inhibitor is administered, there are no observable changes in muscle strength or tone b. within 30-60 seconds after receiving the cholinesterase inhibitor, there is increased muscle tone that lasts 4-5 min c. within 30 min of receiving the cholinesterase inhibitor, there is improved muscle strength that lasts for several weeks d. after the cholinesterase inhibitor is first administered, the pt will experience muscle weakness and then return to baseline