The nurse is conducting a nursing education class on hemophilia. The nurse correctly states that which characteristics are most likely to be seen in a patient with hemophilia? (Select all that apply.)
a. Male gender
b. Female gender
c. The mother is a carrier
d. All races and ethnicities are susceptible
ANS: A, C, D
Hemophilia is more common in males. The female carries this sex-linked recessive gene. The risk of acquiring hemophilia is shared by all races and ethnic groups.
Females typically are carriers but do not have hemophilia.
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The nurse suggests that a patient start a journal. How should the nurse explain the difference between journaling and life stories?
A) Life stories are factual reports. Journals are limited to the search for insights. B) Life stories are the reminiscences of the elderly. Journals are the diaries of the young. C) Journaling examines activities and thoughts in the present. Life stories are accounts from the past. D) Life stories are fictional accounts loosely based on real life. Journals are accurate, factual accounts.
You are caring for an 82-year-old client who needs bladder training. You know that bladder training is difficult for older adult clients with neurologic deficit because of what?
A) Urinary incontinence B) Urinary retention C) Decreased energy expenditure D) Relaxation of the internal bladder sphincter
When you check on Mrs. Young, you notice that she has only 150 cc of urine in her urinary drainage bag. This is the same amount that was in the drainage bag four hours ago. After checking to see that the tubing does not have any kinks or blockages, what should you do?
A. Inform your supervising nurse of Mrs. Young's lack of urinary output. B. Lift the drainage bag above the level of the bladder, to get an accurate measurement. C. Tell Mrs. Young not to drink any fluids for now. D. All of these
While assessing a patient with an alteration in thyroid function, the nurse notes smooth, fine hair and warm, dry skin. Which question should the nurse ask this patient?
A. "Have you noticed a change in your skin color?" B. "Have you experienced any recent weight loss?" C. "Have you been feeling constipated?" D. "Have you noticed increased bruising?"