Parents ask the nurse about the characteristics of autosomal recessive inheritance. Which is characteristic of autosomal recessive inheritance?
a. Affected individuals have unaffected parents.
b. Affected individuals have one affected parent.
c. Affected parents have a 50% chance of having an affected child.
d. Affected parents will have unaffected children.
ANS: A
Parents who are carriers of a recessive gene are asymptomatic. For a child to be affected, both parents must have a copy of the gene, which is passed to the child. Both parents are asymptomatic but can have affected children. In autosomal recessive inheritance, there is a 25% chance that each pregnancy will result in an affected child. In autosomal dominant inheritance, affected parents can have unaffected children.
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A nurse is planning interventions that regulate acid-base balance to ensure the pH of a client's blood remains within the normal range. Which abnormal physiologic functions may occur if the client experiences an acid-base imbalance? (Select all that apply
a. Reduction in the function of hormones b. Fluid and electrolyte imbalances c. Increase in the function of selected enzymes d. Excitable cardiac muscle membranes e. Increase in the effectiveness of many drugs
A patient with paranoid schizophrenia tells the nurse, "The FBI is listening through fluorescent lights in this room. Be careful what you say." Which response by the nurse would be most therapeutic?
a. "Let's talk about something other than the FBI." b. "It sounds like you're concerned about your privacy." c. "The FBI is prohibited from operating in health care facilities." d. "You have lost touch with reality, which is a symptom of your illness."
A component that separates occupations from professions is commitment. Which of the following is the best way that nurses can show commitment to each other?
a. Reporting substandard practice by unlicensed personnel b. Reading the professional literature c. Mentoring nursing students and novice nurses d. Making a financial donation to a professional organization
Nurses can help the family develop useful day-night routines; that is, help the infant tell the difference between day and night by suggesting all of the following except:
1. save the crib or bassinet for nighttime sleep. 2. feed the baby for the last evening time around 11 PM. 3. keep a small nightlight on to avoid turning on bright lights. 4. play with the baby during nighttime feedings to tire the baby out for more, longer sleep.