Which person should the nurse be most alert for the development of glucose-6-phosphate dehydrogenase (G6PD) deficiency anemia?
A. 28-year-old man whose grandfather had the disorder
B. 28-year-old woman whose grandfather had the disorder
C. 55-year-old man who had a myocardial infarction 5 years ago
D. 55-year-old woman who had a partial gastrectomy for stomach cancer last year
A
The disorder is inherited as an X-linked recessive trait. Men have only one X chromosome and, if they have the gene mutation, the mutation is expressed as dominant. Women have two X chromosomes and, if one X has the mutation, there are sufficient cells with a healthy X chromo-some to avoid manifestations of the disease. The affected grandfather could have passed his af-fected X chromosome to his daughter (who was then a carrier) who then passed it on to her son.
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A nurse assesses clients on the medical-surgical unit. Which client is at greatest risk for the development of bacterial cystitis?
a. A 36-year-old female who has never been pregnant b. A 42-year-old male who is prescribed cyclophosphamide c. A 58-year-old female who is not taking estrogen replacement d. A 77-year-old male with mild congestive heart failure
A patient with cancer of the esophagus has been receiving radiation therapy. The nurse realizes that this patient should be assessed for
a. aspiration from fistula formation. b. hemorrhage. c. incompetence of the suture line. d. dumping syndrome.
The nurse is assessing a client in her 37th week of pregnancy for the psychological responses commonly experienced as birth nears. Which psychological responses should the nurse expect to asses? (Select all that apply.)
a. The client is excited to see her baby. b. The client has not started to prepare the nursery for the new baby. c. The client expresses concern about how to know if labor has started. d. The client and her spouse are concerned about getting to the birth center in time. e. The client and her spouse have not discussed how they will share household tasks.
The client with hospital-acquired (nosocomial) pneumonia caused by a bacterial infection with a gram-negative microorganism is receiving treatment with intravenous amikacin (Ami-kin)
In addition to frequent respiratory assessment, what other assessment should the nurse routinely perform to identify a common complication of this medication? A. Monitor urine output every shift. B. Perform neuro checks every 2 hours. C. Examine the stool and vomitus for the presence of blood. D. Monitor the complete white blood cell count and differential daily.