A nurse teaches clients about patterns of inheritance for genetic disorders among adults. Which disorders have an autosomal dominant pattern of inheritance? (Select all that apply.)
a. Breast cancer
b. Alzheimer's disease
c. Hemophilia
d. Huntington disease
e. Marfan syndrome
f.
Cystic fibrosis
ANS: A, D, E
Breast cancer, Huntington disease, and Marfan syndrome have an autosomal dominant pattern of inheritance. Alzheimer's disease is a complex disorder with familial clustering, hemophilia is a sex-linked recessive disorder, and cystic fibrosis has an autosomal recessive pattern of inheritance.
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The nurse is measuring his patient's height. Which of the following steps of the procedure indicates a need for further education on this skill?
a. He instructs the patient to remove his shoes. b. He measures from the top of the patient's head to the bottom of the patient's foot arch. c. He positions the head against the headboard or measuring device. d. He makes sure the patient is standing erect.
Extracorporeal shock wave lithotripsy (ESWL) is administered to a client to treat urolithiasis. Which of these aspects should the client anticipate following this treatment?
a. IV fluids for 72 hours c. normal skin appear-ance b. remaining NPO for 12 hours d. bloody urine for one to two days
Which of the following is an example of the changes seen in health care delivery as a result of the introduction of managed care?
a. Employee Christmas parties can no longer be held on the unit. b. Cyclical work schedules are used. c. More UAPs have been hired and they have been allowed a wider scope of re-sponsibilities. d. RN salaries have gone up over the past 10 years.
A postoperative patient has received an epidural infusion of morphine sulfate. The patient's respiratory rate decreases to 8, and he has a decreased level of consciousness and miosis. Which medication would the nurse anticipate administering?
a. Naloxone (Narcan) b. Acetylcysteine (Mucomyst) c. Methylprednisolone (Medrol) d. Physostigmine (Antilirium)