What is the fundamental defect that results in beta-thalassemia major?
a. The spleen prematurely destroys the precipitate-carrying cells.
b. A severe uncoupling of ?- and ?-chain synthesis occurs.
c. All four beta-forming genes are defective.
d. Hemoglobin H (HbH) develops when three genes are defective.
Answer: b. A severe uncoupling of ?- and ?-chain synthesis occurs.
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The nurse suspects the client at the urgent care center might have a urinary tract infection. Based on this, which type of urine specimen does the nurse prepare to collect from the client?
1. 24-hour urine specimen 2. Midstream urine specimen 3. Routine urine specimen 4. Timed urine specimen
The nurse is preparing to administer a prescribed narcotic medication to a client. What should the nurse keep in mind when preparing and providing this medication? (Select all that apply.)
1. Recall the policy for drug wastage. 2. Adhere to the narcotic control system. 3. Lock the narcotics after accessing them. 4. Document the provision of narcotics as expected. 5. Have another nurse observe the preparation of the dose.
An older patient with Alzheimer's disease has a feeding tube. The family wants to know if the patient will ever be able to eat solid food again. What information should the nurse include when responding to this family's question?
1. The dietitian will decide if this can be done. 2. It depends upon the patient's functional eating abilities. 3. This can be done but the feeding tube has to be removed first. 4. In the patient with dementia, the restoration of natural feeding is highly unlikely.
A nurse leader, according to the American Organization of Nurse Executives (AOEN), is competent in the areas of (select all that apply):
a. Knowledge of the health care environment. b. Communication. c. Business management. d. Demanding participation by the staff. e. Providing a financial incentive.