A parent asks about the differences between the manifestations of cystic fibrosis in his child and in another child with this disease
The parent should be taught that different gene alterations within one particular gene can result in a wide variation in patient manifestations. Correct understanding of teaching is proved when a parent states, "A mutation in one area of the CFTR gene on chromosome 7 accounts for more than 300 variations of severity in: 1. "Mucus production."
2. "Intelligence."
3. "Sleeplessness."
4. "Hydrocephalus."
1
Rationale:
1. When a parent is able to tell the nurse, "A mutation in one area of the CFTR gene on chromosome 7 accounts for more than 300 variations of severity in mucus production," he has restated details about the cause of a wide variation in cystic fibrosis manifestations.
2. This gene does not affect intelligence, sleep patterns, or hydrocephalus.
3. This gene does not affect intelligence, sleep patterns, or hydrocephalus.
4. This gene does not affect intelligence, sleep patterns, or hydrocephalus.
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A client diagnosed with early-stage breast cancer is to undergo radiation therapy along with a lumpectomy rather than mastectomy. In helping the client make her decision, the nurse would explain to the client that
a. distant recurrence is seen more often with lumpectomy. b. effects are comparable between the two remedies. c. radiation therapy is not needed with mastectomy. d. radiation may cause a significant incidence of secondary malignancies.
An adult male reports new-onset seizurelike activity. An EEG and a neurology consultant's report rule out a seizure disorder. When considering the ego defense mechanism of conversion, the nurse's next best action would be to
a. Recommend acupuncture. b. Confront the patient on malingering. c. Obtain history of any recent life stressors. d. Recommend a regular exercise program.
Which of the following would indicate to the nurse that a client is experiencing an endocrine disorder that is affecting the neurological system? (Select all that apply.)
1. Tremors 2. Memory loss 3. Jitteriness 4. Nervousness 5. Loss of sensation in the feet 6. Nerve pain
Nurses practicing on a unit have identified that they are uncomfortable with interpreting results of published research findings. What would be an approach to this problem?
a. Avoidance of applying research findings on the unit b. Dissemination of findings in a more understandable manner c. Participation in research studies d. Reliance on researchers to interpret the findings