The nurse is concerned that a patient is demonstrating signs of red blood cell production. What laboratory value did the nurse most likely use to make this decision?
a. Iron
b. Bilirubin
c. Thrombin
d. Intrinsic factor
ANS: B
The heme unit from RBC destruction forms bilirubin. B. Iron is not a value used to determine red blood cell destruction. C. Thrombin is involved in clotting. D. Intrinsic factor is a chemical produced by the parietal cells of the stomach lining that promote absorption of vitamin B12.
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Which child would have the most difficulty in coping with separation from parents because of hospitalization?
a. 3-month-old child b. 16-month-old child c. 4-year-old child d. 7-year-old child
A school nurse is trying to decrease the effects of an incredible health crisis attacking school children. Which of the following actions would be most appropriate for the nurse to take?
a. Arrange for booster shots to maximize immunization protection against childhood infectious diseases b. Arrange for swine flu and regular flu shots each year c. Establish recreational programs that encourage physical exercise each day d. For those whose parents give permission, teach adolescents about the need for abstinence or "safe sex"
Which action by the nurse is the final step in a complete assessment?
a. Forming diagnostic conclusions b. Documentation of findings c. Auscultation d. Palpation
What would be exemplified by poor "overall flow of logic in the study," in terms of the second step of critical appraisal? (Select all that apply.)
a. The title of the study mentions "the effect of," but the study design is simple descriptive. b. There was a 60% dropout; nonetheless, the researchers claimed that the sample was representative. c. Statistical analyses used are all coherent with the variables' levels of measurement. d. The study framework is gratuitous. It does not, in the slightest, help to explain the relationship between the principal study variables. e. The problem statement and the purpose of the study aren't closely related. It seems like a big leap to get from the problem to the gap, and to the purpose.