During a Weber test, the client reports lateralization of sound to the good ear. The nurse interprets this as which the following?
A) The good ear cannot receive sound vibrations.
B) There is a dysfunction of the middle ear.
C) The poor ear is receiving sound vibrations by air.
D) There is a sensorineural hearing impairment.
D
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Following carrier testing, it is determined that both the husband and wife have sickle-cell trait. Which statement by the wife indicates correct understanding of autosomal recessive inheritance?
1. "Because both my husband and I carry the trait but do not have the disease, I don't need to have prenatal testing because my baby will also be a carrier." 2. "Because both my husband and I are both carriers, I don't need to have prenatal testing because all of our children will have the disease. 3. "When I become pregnant, I need to have an amniocentesis or other prenatal test to determine whether my baby is affected with sickle-cell disease." 4. "There is no use undergoing prenatal testing as sickle-cell anemia cannot be diagnosed prenatally."
Parents of an infant with slow weight gain ask the nurse if they can feed their baby a highly concentrated formula. An appropriate response given by the nurse would be:
1. "A higher-concentrated formula could lead to dehydration because of high sodium content; let's discuss other strategies." 2. "An undiluted formula concentrate could be given to help the child gain weight; let's look at brands." 3. "Evaporated milk could be given to the infant instead of the current formula you're using." 4. "A higher-concentrated formula could be given for daytime feedings; let's work on a schedule."
The nurse examines the patient's skin after interdermal skin testing at the appropriate time for evaluating response and determines that the area presents a wheal (9 to 15 mm) with associated erythema. The nurse records the result as:
A) 1+ B) 2+ C) 3+ D) 4+
Nursing intervention for the pregnant diabetic is based on the knowledge that the need for insulin
a. Increases throughout pregnancy and the postpartum period b. Decreases throughout pregnancy and the postpartum period c. Varies depending on the stage of gestation d. Should not change because the fetus produces its own insulin