A 2-year-old male presented with growth and maturation retardation and splenomegaly. He died shortly after arriving at the ER. Autopsy revealed thalassemia secondary to defective:
a. erythrocyte membranes.
b. iron metabolism.
c. stem cell formation.
d. hemoglobin synthesis.
ANS: D
Thalassemia would be secondary to defective hemoglobin synthesis; it is not due to erythrocyte membrane abnormalities, defective iron metabolism, or defective stem cell formation.
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An elderly patient has begun taking bisoprolol (Zebeta) 10 mg PO once daily for the treatment of angina. The nurse should administer this drug in the knowledge that it achieves a therapeutic effect in what way?
A) Decreasing heart rate B) Increasing the force of myocardial contractions C) Prolonging the QT interval D) Shortening the time required for repolarization
A client states, "I'm sure that I am suffering from PMS. How can I get my doctor to take this seriously?" The nurse's best response is:
a. "Men are not usually sympathetic to PMS sufferers." b. "You are probably right. You should remind your doctor of your symptoms every time you visit." c. "Since you feel certain you are right, you should just treat yourself with over-the-counter medications." d. "You should keep a daily record of the occurrence and severity of your symptoms for 3 months."
What are some truthful comparisons between the U.S. and Canadian health care systems? Select all that apply
A. Canada does not have enough physicians. B. Canada has socialized medicine. C. Costs are increasing in both countries. D. Physicians in Canada earn less. E. The quality of health care is poor in Canada. F. There are long waits to see a primary care physician in Canada.
Which of the following is true about clinical nurse specialists and nurse practitioners?
1. They often work in similar settings. 2. They have identical educational preparation. 3. Debate on similarities has settled the similarities and differences. 4. The clinical nurse specialist role always involves prescriptive practice.