What is the result of a deficiency of factor IX?
a. Thalassemia
b. Idiopathic thrombocytopenic purpura
c. Hemophilia A
d. Christmas disease
ANS: D
Christmas disease, or hemophilia B, is caused by the deficiency of factor IX.
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A staff nurse is participating on a committee examining ways to most effectively meet the goals of Healthy People 2020. Which client would be the nurse's highest priority based on the goals of Healthy People 2020?
1. An adolescent female with her first pregnancy. 2. A diabetic client who maintains optimal visual intactness. 3. An IV drug abuser who converts to methadone use. 4. Several obese school-age children.
The nurse is concerned that an older patient is at risk for metabolic syndrome. What did the nurse assess in this patient? Standard Text: Select all that apply
1. Heart rate 88 and regular 2. Respiratory rate 18 and regular 3. Waist circumference 40 inches 4. Blood pressure 148/88 mm Hg 5. Fasting capillary blood glucose 110 mg/dL
The nurse is assessing a 36-week gestational age newborn. Upon auscultation, she hears a late systolic murmur in the left intrascapular area with no femoral pulse but increased brachial pulses. What treatment should this infant receive?
1. Indomethacin with surgical ligation. 2. Lanoxin with surgical closure with a Dacron patch. 3. Prostaglandin E1 and surgical resection of the aorta. 4. Palliative surgery to increase blood flow to the lungs followed by corrective surgery.
Which disorder results in decreased erythrocytes and platelets with changes in leukocytes and has clinical manifestations of pallor, fatigue, petechiae, purpura, bleeding, and fever?
a. Idiopathic thrombocytopenic purpura (ITP) b. Acute lymphocytic leukemia (ALL) c. Non-Hodgkin lymphoma (NHL) d. Iron deficiency anemia (IDA)