The nurse working on a general medical-surgical unit in the hospital cares for clients with a variety of diseases that have a genetic component, including (Select all that apply)
a. Alzheimer's disease.
b. chronic obstructive pulmonary disease.
c. diabetes.
d. heart disease.
e. sickle cell anemia.
A, C, D, E
Other diseases with a genetic component include cancer, Huntington's disease, muscular dystro-phy, essential hypertension, multiple sclerosis, many birth defects, and Tay-Sachs Disease. COPD does not seem to have a genetic component.
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A pregnant woman, gravida 2, para 1, tells the nurse she desires a VBAC (vaginal birth after cesarean section) with this pregnancy. What is the primary concern regarding complications for this patient during labor and birth?
a. Eclampsia b. Placental abruption c. Congestive heart failure d. Uterine rupture
A patient you are admitting to the medical unit has fallen off a ladder and, although his scans and tests indicate there is no physical cause for his pain and paralysis, he still cannot walk. You understand that he may have a:
1. dissociative disorder. 2. hypochondriasis. 3. posttraumatic stress disorder. 4. conversion disorder.
Cruciferous vegetables may alter drug pharmacokinetics by:
1. Enhancing absorption of weakly acidic drugs 2. Altering CYP 3A4 activity, leading to elevated levels of drugs, such as the statins 3. Inducing CYP 1A2, possibly leading to therapeutic failure of drugs metabolized by CYP 1A2 4. Decreasing first-pass metabolism of drugs
Before discharging a patient with osteoarthritis (OA) of the left hip and lower lumbar vertebrae, the nurse teaches her about management of the condition
Which replies by the patient demonstrate proper understanding of how to manage her condition? (Select all that apply.) a. "I should try and stay active all the day to keep my joints from becoming stiff." b. "I can use a cane if I find it helpful in relieving the pressure on my back and hips." c. "A warm shower in the morning will help relieve the stiffness I have when I get up." d. "I should take no more than 1 gram of acetaminophen four times a day to control the pain." e. "Exercising daily on a stationary recumbent bicycle will lessen joint stress."