Define ?+-thalassemia and explain how it is genetically transmitted. Describe the types of people most often affected
One of several types of mutations in the ? gene results in failure to produce normal amounts of ?-globin chains. The ?-thalassemias are divided into two types, a homozygous disease called thalassemia major, and a heterogeneous one, called thalassemia minor.
Heterozygous ?-thalassemia may be caused by inheritance of one thalassemia gene, either ?1 or ?0 . The other gene directing ?-chain production is normal and RBC survival is not shortened.
About 1% of African Americans are affected. It is common in individuals of Mediterranean and Arabic descent.
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An example of a right is
1. being treated with respect. 2. making a responsible choice. 3. following a family tradition. 4. setting standards for right and wrong.
An aging population, an overburdened welfare system, and a cost conscious U.S. Congress exerting its influences on the health care system are all examples of ____ changes
1. social 2. cultural 3. environmental 4. technologic
A patient tells you that he periodically takes a prescribed medication to relieve arthritis pain. It was prescribed by his health care provider 5 years ago. What is the nurse's most appropriate response?
a. "You should discard any unused portion of a medication by the stated expiration date because some medications lose their potency and others become toxic." b. "You need to ask your health care provider if you should continue taking this medication when you experience arthritic pain." c. "I'll contact your health care provider about your expired medication and ask for a new prescription if she thinks it is appropriate." d. "Have you tried any herbal products for relief of your pain?"
The nurse prepares to administer medication to the client who is recovering from a closed head injury. Which does the nurse implement before administering oral medication to prevent client aspiration of gastric contents? (Select all that apply.)
1. Observe the client's intake of solid food. 2. Palpate swallowing at level of the larynx. 3. Ask client to swallow small sips of water. 4. Observe chest during mealtime for dysphagia. 5. Ask client to swallow and observe client's neck. 6. Evaluate for impaired chewing or tongue control.