The parents of a child with sickle cell anemia (SCA) are concerned about subsequent children having the disease. The nurse should know that:
a. SCA is not inherited.
b. all siblings will have SCA.
c. each sibling has a 25% chance of having SCA.
d. there is a 50% chance of siblings having SCA.
Ans: c. each sibling has a 25% chance of having SCA.
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The nurse is preparing a 5-year-old for a radiograph. Which of the following would be the best communication to prepare the child for the procedure?
A) "We are going to take some x-rays of your body." B) "We need to look inside at some of your organs." C) "X-rays are not painful; you won't feel a thing." D) "We are going to use a big camera to take pictures inside your body."
The night nurse finds a patient who broke both legs in a car accident 2 weeks ago awake and crying at 2:00 AM
When the nurse asks if she wants a sedative to sleep, the patient confesses that she relives the accident in her dreams and is fearful to go to sleep. The nurse recognizes signs of: a. post-traumatic stress disorder (PTSD). b. phobic disorder. c. obsessive-compulsive disorder (OCD). d. panic level of anxiety.
A nurse is monitoring a woman who is receiving oxytocin (Pitocin) to induce labor. Which action should the nurse, on suddenly noting the presence of late decelerations on the fetal heart rate (FHR) monitor, take first?
A. Stopping the oxytocin infusion B. Notifying the nurse-midwife or health care provider C. Checking the woman's blood pressure and pulse D. Increasing the intravenous (IV) rate of the nonadditive solution
Which type of nursing diagnosis will be written when the patient exhibits factors that make him or her susceptible to the development of a problem?
a. Actual diagnosis b. Risk diagnosis c. Possible diagnosis d. Wellness diagnosis