The nurse is evaluating the diagnostic studies data on a patient with suspected cystic fibrosis. Which of the following tests is associated with a diagnosis of cystic fibrosis?
A) An elevated sweat chloride concentration test
B) Presence of ketones in the urine
C) Positive phenylketonuria
D) Lung biopsy
Ans: A
Feedback: Gene mutations affect transport of these ions, leading to CF, which is characterized by thick, viscous secretions in the lungs, pancreas, liver, intestine, and reproductive tract as well as increased salt content in sweat gland secretions. The other tests are not diagnostic of cystic fibrosis.
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The nurse is preparing to examine several clients in the clinic setting. Which of the following clients would need the greatest degree of special consideration during a physical examination?
1. 59-year old with flu symptoms 2. 3-year-old child in for a well check-up 3. 17-year old who complains of fatigue 4. 68-year old with chronic lung disease
The patient tells you that she uses herbal and other alternative therapies to maintain her health. This information is recorded in the:
a. past medical history. b. chief complaint. c. social history. d. family history.
An enlarged thyroid gland may indicate a deficiency of
a. iron. b. iodine. c. folate. d. vitamin B12.
Others describe a worker as very shy and lacking in self-confidence. This worker stays in an office cubicle all day, and never comes out for breaks or lunch. Which term best describes this behavior?
a. Avoidant b. Dependent c. Histrionic d. Paranoid