The stiff, sickled RBCs tend to cause vascular occlusions with subsequent local infarction. As a rule, the spleen suffers so many vaso-occlusive/infarction episodes that it is greatly reduced in size and is rendered nonfunctional by the time the individual is 6 years of age. What are the implications of having a nonfunctioning spleen?
Ans: People without a spleen are at an increased risk for infection
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A patient is describing his symptoms to the nurse. Which of these statements reflects a description of the setting of his symptoms?
a. "It is a sharp, burning pain in my stomach." b. "I also have the sweats and nausea when I feel this pain." c. "I think this pain is telling me that something bad is wrong with me." d. "This pain happens every time I sit down to use the computer."
A nursing student asks the instructor, "Our textbook discussed the obesity paradox in older adults. I am not sure I understand; isn't obesity bad for everyone?" The best response by the in-structor is:
a. "While there is evidence that obesity in younger people lessens life expectancy, it remains unclear whether overweight and obesity are predictors of mortality in older adults." b. "Obesity is usually not a concern in older adults, as most older people tend to weigh less than they did when they were young-er." c. "Obesity is a concern in all age groups; however, over the past decade obesity in older adults has decreased." d. "Obesity in older adults is less of a con-cern than we once thought; individuals over age 65 with a higher BMI have a lower mortality rate."
Which characteristics of the primary nursing model make it a good match with the goals of the IOM and National Quality Forum? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. There are fewer RNs, so care is less expensive. 2. Primary nursing creates new possibilities for collaborative success. 3. Primary nursing supports efforts to make patient care safer. 4. The model allows the nurse to coordinate care across many disciplines. 5. Primary nursing reduces the need for communication and documentation.
A resident brought a pillow from home. Which is correct?
a. The person needs to bring a pillowcase, too. b. The person must use a pillow provided by the nursing center. c. The person has the right to use the pillow. d. The pillow must have a safety check by the maintenance department.