The nurse understands that which occurring soon after birth can indicate cystic fibrosis?
a. Murmur
b. Hypoglycemia
c. Meconium ileus
d. Muscle weakness
ANS: C
A symptom of cystic fibrosis is a meconium ileus soon after birth. A murmur can be a sign of a congenital heart disease. Hypoglycemia can be a sign of Beckwith-Wiedemann syndrome. Muscle weakness can be a sign of myotonic dystrophy.
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When providing discharge teaching to a patient who has schizophrenia and is taking clozapine (Clozaril), it is important to teach all of the following except:
A. "Be sure to have you lab work on time and as ordered." B. "Do not stop this drug abruptly. First call your doctor." C. "Do not take any over-the-counter medications or alcohol while on this medication without your doctor's approval." D. "You may begin driving immediately while taking this medication."
The patient asks, "Why do I feel so bloated before my menstrual period begins? I am constipated, my breasts are tender, and I'm always hungry." How would the nurse best respond?
A) "This is the result of the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), hormones to start your period." B) "This is the result of estrogen release preparing your body to release an ovum." C) "These are the effects of progesterone, a hormone released to thicken your uterine lining." D) "This is the result of the secretory endometrium release preparing the body for pregnancy."
A 68-year-old male has visited his family physician because the size of his scrotum has increased exponentially in recent months. He has subsequently been diagnosed with an inguinal hernia
Which of the following statements best captures the nature of his health problem? A) Part of his intestine and parietal peritoneum are protruding through the inguinal opening. B) Rupture of the tunica vaginalis has allowed a part of his small bowel to protrude into the intrascrotal space. C) Incomplete closure of the inguinal opening during his development has contributed to testicular hypertrophy and hyperplasia. D) Occlusion of the efferent ductules and epididymis causes massive dilation of the testes.
The nurse is evaluating laboratory data on a 70-year-old male. Which of the following values is cause for concern and follow-up?
a. LDL = 90 mg/dL c. Albumin = 4.5 g/dL b. Hemoglobin = 14.5 g/dL d. HbA1c = 8.0%