A 58-year-old father and a 45-year-old mother gave birth to a baby boy 2 days ago. The nurse assesses a single palmar crease and low-set ears on the newborn. The nurse plans to counsel the couple about which chromosomal abnormality?
1. Trisomy 13
2. Trisomy 18
3. Trisomy 21
4. Trisomy 26
3
Explanation: 3. A single palmar crease and low-set ears are characteristics of trisomy 21 (Down syndrome).
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A nurse needs to administer a cephalosporin to a patient. The patient informs the nurse that he is allergic to penicillin. Which action by the nurse would be most appropriate?
A) Inform the primary health care provider. B) Obtain the patient's occupational history. C) Administer an antipyretic drug. D) Obtain specimens for kidney function tests.
A client receives a loading dose of theophylline to treat acute respiratory symptoms. When assessing the client, the nurse would immediately notify the primary health care provider for which of the following?
A) Constipation B) Abdominal cramps C) Bradycardia D) Mental depression
The nurse is admitting the fourth patient in 2 days who is experiencing malaise, high fever, and headache. All patients attended a local air show the previous weekend. Which nursing action is necessary?
1. Discuss the need to contact public health authorities regarding the similarity of the cases. 2. Plan to place the patients in the same room. 3. Ask the patients for permission to talk with family members regarding other symptoms. 4. Assess the patients for what foods they ate while at the air show.
New research by Singh and Jones (2013) found that clients diagnosed with hoarding may benefit from which of the following?
A) Increased regular dose of an antianxiety medication B) Using a "buddy" system where members support each other outside the group C) Daily visits from a social worker trained to perform hypnosis D) Waste treatment companies stopping by to offer their services at a reduced rate