A patient is diagnosed with hepatitis C. The nurse realizes the genetic test that might prove beneficial to this patient is:
1. Real-time PCR.
2. Microarray analysis.
3. Gene therapy.
4. Stem cell therapy.
Real-time PCR.
Rationale: Real-time PCR is an emerging technology that allows for the detection and quantification of a small fragment of replicating DNA during the amplification process and offers rapid and sensitive quantification of the gene of interest. Clinically, real-time PCR is used to obtain viral load levels of many different viruses, including cytomegalovirus and hepatitis C. Microarray analysis, primarily used in the research setting, is transitioning into clinical practice, specifically in the area of cancer prognosis and treatment stratification. Gene therapy and stem cell therapy are not genetic tests.
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A physician and nurse are performing a dressing change on an unresponsive patient in room I-14 . The physician asks the nurse for an update on the patient in room I-13 . The nurse should
a. give the update to the physician. b. refuse to give the update because of HIPAA requirements. c. give the update because the patient's unconscious state will not compromise confidentiality. d. refuse to give the update because of OSHA requirements.
Which of the following typically occurs between 5 and 7 months of age?
a. closure of the posterior fontanel b. development of the frontal sinus c. eruption of the first lower central incisors d. salivation and production of tears
A nurse plans discharge instructions of a 78-year-old black client with newly diagnosed dilated heart failure. The client states, "Will I be going home on hospice now that my heart is failing?"
Which of the following responses is most appropriate by the nurse? A) "Heart failure is a chronic condition that can be controlled with medication." B) "No, but you will have palliative care." C) "You must go to cardiac rehabilitation." D) "You will need to take medications for the rest of your life."
The preferred route for potassium replacement is:
a. IV push b. IV Piggyback c. Oral d. Continuous drip