A nurse is aware that the concepts of genotype and phenotype must be included in any consideration of pharmacogenetics. Which of the following statements is true of these concepts?
A) Genotype is an expression of DNA, but phenotype is a cultural concept.
B) Genotype is easily modifiable, but phenotype is not modifiable.
C) Genotype is a consequence of the genetic makeup of an individual's parents while phenotype is unique to every individual.
D) Genotype is the composition of person's DNA, but phenotype is the manifestation of these genes.
D
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A 30-year-old woman with a history of mitral valve problems states that she has been "very tired." She has started waking up at night and feels like her "heart is pounding."
During the assessment, the nurse palpates a thrill and lift at the fifth left intercostal space midclavicular line. In the same area, the nurse also auscultates a blowing, swishing sound right after the S1. These findings would be most consistent with: a. Heart failure. b. Aortic stenosis. c. Pulmonary edema. d. Mitral regurgitation.
A nurse has assessed a patient's capillary refill, which was 5 seconds. What action by the nurse is most appropriate?
a. Document the findings and continue the examination. b. Ask the patient about the use of artificial nails. c. Ask the patient about his/her occupation. d. Assess the patient for signs of hypoxia.
A patient is prescribed lamotrigine for seizure control. The drug received from the pharmacy is Lamisil. What is your best action?
a. Administer the drug as prescribed. b. Hold the dose and call the pharmacy immediately. c. Ask the patient whether he or she recognizes the tablet. d. Notify the prescriber that the usual brand of lamotrigine is not available.
A child is admitted to the pediatric medical unit with a diagnosis of Kawasaki disease. Which provider prescription should the nurse question?
1. Contact isolation 2. Oral aspirin every 8 hours 3. Echocardiogram 4. Vital signs every 4 hours