A student asks the professor to explain the jaundice that accompanies hemolytic anemia. Which statement is by the professor is most accurate?
a. Erythrocytes are destroyed in the spleen.
b. Heme destruction exceeds the liver’s ability to conjugate and excrete bilirubin.
c. The patient has elevations in aspartate transaminase (AST) and alanine transaminase (ALT).
d. The erythrocytes are coated with an immunoglobulin
Answer: b. Heme destruction exceeds the liver’s ability to conjugate and excrete bilirubin.
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A patient of Asian descent has been diagnosed with hypertension. He is placed on a beta-blocker. Why is the dose lower than in most other patients?
A) Asians metabolize and excrete beta-blockers slower. B) Asians metabolize beta-blockers in the small intestine. C) Asians have a diminished renal excretion of beta-blockers. D) Asians are more likely to have a lower albumin level.
The nurse is admitting a client to the Labor and Delivery unit. Which aspect of the client's history requires notifying the physician?
1. Blood pressure 120/88 2. Father is a carrier of sickle-cell trait. 3. Dark red vaginal bleeding 4. History of domestic abuse
The nurse recognizes that the interpretation of human genome
a. allows for scientists to predict the occurrence of disease in an individual b. raises problems related to ethics and client confidentiality c. will allow for the prevention of most diseases d. will eradicate diseases such as heart disease and cancer
A client with clinical AIDS is treated with a protease inhibitor. The highest priority nursing intervention based on this medication is to monitor for incidence of:
a. hepatic steatosis. b. hyperglycemia. c. urinary retention. d. coma.