A nurse is caring for a client who has been diagnosed with a multifactorial disease. Which of the following best describes the client's diagnosis?
a. Measles
b. Hepatitis B
c. Eczema
d. Type I diabetes
ANS: D
Disorders that are influenced by multiple factors including genetics/genomics, environment, life-style, and other factors are considered to be multifactorial. Type I diabetes is considered to be a multifactorial disease. The others are not multifactorial diseases.
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A client with AD receiving a cholinesterase inhibitor has a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements. Which of the following would be most appropriate?
A) Provide nutritious meals three times a day. B) Give foods that have the same consistency. C) Encourage careful chewing. D) Encourage visitors during mealtime.
A patient asks the health care provider how warfarin (Coumadin) achieves its anticoagulant ef-fect. Which statement would be the most appropriate response of the health care provider?
a. Warfarin inactivates clotting factors that are currently circulating in the blood-stream. b. Warfarin dilates the arterial lumen so blood can flow around a site of injury. c. Warfarin prevents clots from forming by making blood vessel walls slippery. d. Warfarin interferes with production of vitamin K-dependent clotting factors in the liver.
The nurse is performing a physical assessment on a patient who is receiving treatment with abacavir, zidovudine, and lamivudine [Trizivir]. The patient complains of fatigue
Upon further assessment, the nurse finds a rash and notes that the patient has a temperature of 101.1°F. What is the nurse's best course of action? a. Tell the patient that this is an expected response to these medications and to con-tinue the agents as prescribed. b. Have the patient hold the medications and arrange for an immediate evaluation by the prescriber. c. Have the patient continue the abacavir but discontinue the other two agents for 3 weeks. d. Instruct the patient to continue all three medications and administer an antihista-mine for the symptoms.
Which statement indicates that a nurse manager understands the significance of the National Health Planning and Resource Development Act (NHPRA) of 1974?
1. "The focus of the NHPRA was on establishing hospital systems specializing in certain specialty practices." 2. "The Medicare system was established by the legislation included in the NHPRA." 3. "The NHPRA closed down facilities that were old, and some people were left with no access to health care." 4. "The NHPRA helped to ensure equal access of small communities to health care facilities."