A toddler had a minor fall and now has a swollen, bruised, painful knee. What diagnostic test is most important for the nurse to educate the parents about?
A.
Complete blood count
B.
Plasma factor assay
C.
Plasma ferritin level
D.
Platelet count
ANS: B
The child has manifestations consistent with hemophilia. The most important diagnostic testing for this disease is a direct assay of plasma factor activity level for hemophilia A and B. A CBC will also most certainly be done, as will a platelet count. Plasma ferritin measures iron and is not warranted.
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A nurse is working with a patient who needs to change unwanted or undesired behavior. The nurse recognizes that which patient response indicates that patient is at the pre-contemplation stage of the stages of change model? Select all that apply
1. The patient denies having a problem. 2. The patient acknowledges the problem. 3. The patient has no desire to change the problem. 4. The patient begins to make plans to change the problem. 5. The patient begins to seriously consider changing the problem.
The ethical decision-making process involves several steps. These steps resemble which of the following?
1. Healthy People 2010 2. Deontology 3. The nursing process 4. Advocacy
A nurse is conducting an in-service on asthma. Which statement is the most descriptive of bronchial asthma?
a. There is heightened airway reactivity. b. There is decreased resistance in the airway. c. The single cause of asthma is an allergic hypersensitivity. d. It is inherited.
The patient who has had diarrhea for the last 3 days has blood gases of pH of 7.1, HCO3- of 20 mEq/L, and PCO2 of 36 mm Hg. These laboratory values are consistent with which acid-base imbalance?
a. Respiratory alkalosis b. Metabolic alkalosis c. Respiratory acidosis d. Metabolic acidosis