A physician is providing care for a number of patients on a medical unit of a large, university hospital
The physician is discussing with a colleague the differentiation between diseases that are caused by abnormal molecules and diseases that cause disease. Which of the following patients most clearly demonstrates the consequences of molecules that cause disease?
A)
A 31-year-old woman with sickle cell anemia who is receiving a transfusion of packed red blood cells
B)
A 91-year-old woman who has experienced an ischemic stroke resulting from familial hypercholesterolemia
C)
A 19-year-old man with exacerbation of his cystic fibrosis requiring oxygen therapy and chest physiotherapy
D)
A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV positive.
Ans:
D
Feedback:
PCP is an example of the effect of a molecule that directly contributes to disease. Sickle cell anemia, familial hypercholesterolemia, and cystic fibrosis are all examples of the effects of abnormal molecules.
You might also like to view...
You are caring for a patient, a 42-year-old mother of two children, with a diagnosis of ovarian cancer
She has just been told that her ovarian cancer is terminal. When you admitted this patient, you did a spiritual assessment. What question would it have been most important for you to evaluate during this assessment? A) Is she able to tell her family of negative test results? B) Does she have a sense of peace of mind and a purpose to her life? C) Can she let go of her husband so he can make a new life? D) Does she need time and space to bargain with God for a cure?
You find 90 mL of fluid left in an IV. The flow rate is 20 gtt/min. The drop factor is 60 gtt/mL. How long will the IV fluid last? _______________
a. 30 min b. 40 min c. 2 hr d. 4 1/2 hr
Which information shown in the accompanying figure about a patient who has just arrived in the emergency department is most urgent for the nurse to communicate to the health care provider?
a. Platelet count b. White blood cell count c. History of abdominal pain d. Blood pressure and heart rate
What national organizations can nurses use to locate EBP resources and EBP-based clinical guidelines?
a. Agency for Healthcare Research and Quality, National Institute of Nursing Research, National Nursing Practice Network, and specialty nursing organizations. b. National Institutes of Health and regional resource centers. c. American Nurses Credentialing Center and the American Nurses Association. d. Department of Health and Human Services, Sigma Theta Tau International, and the Joanna Briggs Institute.