The nurse is assessing the knowledge of new parents with a child born with maple syrup urine disease (MSUD). This is an autosomal recessive inherited disorder, which means that:
a. Both genes of a pair must be abnormal for the disorder to be expressed.
b. Only one copy of the abnormal gene is required for the disorder to be expressed.
c. The disorder occurs in males and heterozygous females.
d. The disorder is carried on the X chromosome.
ANS: A
MSUD is a type of autosomal recessive inheritance disorder in which both genes of a pair must be abnormal for the disorder to be expressed. MSUD is not an X-linked dominant or recessive disorder or an autosomal dominant inheritance disorder.
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The nurse would assist the client with low back pain resulting from herniated lumbar disk into the position of
a. either to the right or left side with knees straight. b. prone with a very small pillow under the head. c. side-lying with knees flexed. d. supine with head elevated 90 degrees.
The electrocardiogram of a patient receiving tPA for a myocardial infarction shows that the ST segment has returned to baseline. How should the nurse interpret this finding?
1. The spasm in the coronary artery has resolved. 2. The myocardial injury is evolving. 3. The patient has become more relaxed. 4. The blocked artery has been reperfused.
The nurse recognizes the characteristic of egocentrism when she hears a 4-year-old say:
a. "I am cold.". b. "The ocean is for me to wade in.". c. "I am the mighty Superman.". d. "I can jump higher than this house.".
A patient who reports regular consumption of two or three alcoholic beverages per day asks about taking acetaminophen when needed for occasional, recurrent pain. What will the nurse tell the patient?
a. "Do not take more than 2 gm of acetaminophen a day." b. "Do not take more than 3 gm of acetaminophen a day." c. "Do not take more than 4 gm of acetaminophen a day." d. "Do not take a fixed-dose preparation with opioid analgesics."