The nurse is caring for a client with sickle cell anemia. The nurse teaches the client that the inherited alteration of which type of hemoglobin causes the abnormal shape to the red blood cell?
A) Hgb A
B) Hgb S
C) Hgb B
D) Hgb E
Answer: B
The inherited alteration of Hgb S causes the abnormal sickle-shaped red blood cell in sickle cell anemia.
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A young infant is admitted to the hospital unit with physical injuries. The nurse is taking the child's history. The statement by the parent that would be most suspicious for abuse is:
1. "I was walking up the steps and slipped on the ice, falling while carrying my baby." 2. "The baby's 18-month-old brother was trying to pull the baby out of the crib and dropped the baby on the floor." 3. "I placed the baby in the infant swing. His six-year-old brother was running through the house and tripped over the swing, causing it to fall." 4. "I did not realize that my baby was able to roll over yet, and I was just gone a minute to check on dinner when the baby rolled off of the couch and onto our tile floor."
In utilizing the collected information about the patient's condition before giving medications, what are some important factors to consider?
a. The color of the medication in pill form b. Who can administer this medication c. Other drugs that may affect the medication's route d. The reason and goal of the medications given
For the client who has sustained tracheobronchial trauma, which assessment finding alerts the nurse to the possibility of tracheal lacerations?
A. Hypertympanic sound on affected side B. Subcutaneous emphysema over the trachea C. Hypotension and decreased capillary refill D. Deviation of the trachea to the affected side
The base of the heart is found at approximately the level of the _____ rib(s)
a. first b. second c. fourth d. fifth and sixth