A nurse is reviewing the charts of children in the pediatric units to determine which parents would benefit from referral to the genetics clinic
The nurse recognizes that the parents of children with genetic and chromosomal disorders would benefit most from this referral. Therefore, the nurse refers the parents of the: (Select all that apply.) 1. Child diagnosed at age 6 with cystic fibrosis.
2. Neonate born at 28 weeks with respiratory distress syndrome.
3. 2-year-old child who is terminally ill with a brain tumor.
4. Child with Fanconi's syndrome being treated for anemia.
5. 4-year-old child with nephrotic syndrome.
1, 4
Rationale:
1. Cystic fibrosis and Fanconi's syndrome are both genetic disorders.
2. Although genetic disorders can lead to prematurity, there is no evidence that this child has a genetic disorder.
3. There is no evidence that brain tumors have genetic tendencies.
4. Cystic fibrosis and Fanconi's syndrome are both genetic disorders.
5. Nephrotic syndrome and brain tumors are not known to be genetic disorders.
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A) Respiratory acidosis B) Respiratory alkalosis C) Metabolic acidosis D) Metabolic alkalosis
A nurse is caring for a client who had a musculocutaneous flap reconstruction. The nurse assesses the flap to be cool with dark dermal blood on lancing. The most appropriate action by the nurse is to
a. document the findings and continue care. b. elevate the affected body part if possible. c. notify the surgeon immediately. d. rewrap the pressure dressing.
A patient has just been admitted for labor and delivery. She is having mild contractions lasting 30 seconds every 15 minutes. The patient wants to have a medication-free birth
When discussing medication alternatives, the nurse should be sure the patient understands that: 1. In order to respect her wishes, no medication will be given. 2. Pain relief will allow a more enjoyable birth experience. 3. The use of medications allows the patient to rest and be less fatigued. 4. Maternal pain and stress can have a more adverse effect on the fetus than would a small amount of analgesia.
Calculate LT's total energy needs using the Harris-Benedict equation and appropriate stress factor