Question 1

A patient's laboratory test results indicate a positive finding for sickle cell disease.Which of the following should the nurse tell the patient to avoid because of the increased risk for complications associated with this disease? Select all that apply.
A)Exposure to direct sunlight
B)Strenuous exercise
C)Staying at high altitudes
D)Eating foods with gluten
E)Travelling in an unpressurized aircraft

Accepted Answer

Strenuous exercise, staying at high altitudes, and traveling in an unpressurized aircraft can increase the risk of complications such as sickle cell crisis in individuals with sickle cell disease. Exposure to direct sunlight and eating foods with gluten do not have a direct association with complications related to sickle cell disease. However, avoiding dehydration and staying well-hydrated is important for individuals with sickle cell disease, and exposure to direct sunlight can increase the risk of dehydration.

Question 2

A newborn's laboratory test results indicate that the child has sickle cell disease.This child will be subject to occasional crises characterized by which of the following symptoms? Select all that apply.
A)Hypoxia
B)Hypoglycemia
C)Blood vessel damage
D)Seizures
E)Pain

Accepted Answer

Sickle cell disease is a genetic blood disorder that causes red blood cells to have a sickle shape. These sickle-shaped cells can block blood vessels, leading to tissue damage, oxygen deprivation (hypoxia), and pain. This tissue damage can result in a variety of symptoms, including organ damage, infections, and strokes. Hypoglycemia and seizures are not typically associated with sickle cell disease.

Question 3

A nurse is providing teaching to a patient who will be undergoing semen analysis.Which of the following should the nurse mention as factors that will decrease sperm count, thus impairing the accuracy of the test? Select all that apply.
A)Cannabis use
B)Alcohol consumption
C)Cigarette smoking
D)Testicular radiation
E)Exercise

Accepted Answer

Cannabis use, cigarette smoking, and testicular radiation can all decrease sperm count, thus impairing the accuracy of the semen analysis.

Question 4

A nurse is performing a Schirmer tear test on a patient.Which of the following interventions should the nurse make? Select all that apply.
A)Have the patient look up when instilling the topical anesthetic.
B)Direct the topical anesthetic at the twelve o'clock position of the sclera.
C)Insert a test strip in each eye.
D)The strip should be folded over the midportion of both lower eyelids.
E)The patient should keep both eyes open for about 5 minutes during the test.

Accepted Answer

The answer of A nurse is performing a Schirmer tear...

Question 5

A newborn's laboratory test results indicate increased androgen hormones and decreased aldosterone.The newborn is diagnosed with congenital adrenal hyperplasia of the salt-wasting type.Which of the following symptoms should the nurse expect to see in this patient? Select all that apply.
A)Poor feeding
B)Agitation
C)Vomiting
D)Hypertension
E)Diarrhea

Accepted Answer

The symptoms of congenital adrenal hyperplasia of the salt-wasting type include poor feeding, vomiting, and diarrhea. These symptoms are caused by the decreased production of aldosterone, which is a hormone that helps the body retain sodium and water.

Question 6

A patient objects to producing a semen specimen by masturbation due to religious concerns.What alternative methods of obtaining a specimen should the nurse mention to the patient? Select all that apply.
A)Coitus interruptus
B)Collection in a condom during sexual intercourse
C)Urine sample collected immediately after sex
D)Biopsy of the testicle
E)Postcoital collection from the cervical canal and vagina of the patient's sexual partner

Accepted Answer

Coitus interruptus and collection in a condom during intercourse are viable alternatives for semen collection. Postcoital collection from the partner's cervical canal and vagina can also be considered.

Question 7

A newborn with severely decreased aldosterone levels develops adrenal crisis.This condition is characterized by which of the following symptoms? Select all that apply.
A)Hypertension
B)Confusion
C)Irritability
D)Bradycardia
E)Coma

Accepted Answer

Aldosterone deficiency can lead to adrenal crisis, characterized by confusion, irritability, and coma due to electrolyte imbalances and decreased blood flow to the brain.

Question 8

A patient's laboratory test results indicate an increased level of blood urea nitrogen (BUN).The nurse understands that this finding is consistent with which of the following conditions? Select all that apply.
A)Acute renal failure
B)Diabetes
C)Malabsorption syndromes
D)Ketoacidosis
E)Pregnancy

Accepted Answer

The answer of A patient's laboratory test results indicate an...

Quiz 4: Monographs

A patient's laboratory test results indicate a positive finding for sickle cell disease.Which of the following should the nurse tell the patient to avoid because of the increased risk for complications associated with this disease? Select all that apply.

A newborn's laboratory test results indicate that the child has sickle cell disease.This child will be subject to occasional crises characterized by which of the following symptoms? Select all that apply.

A nurse is providing teaching to a patient who will be undergoing semen analysis.Which of the following should the nurse mention as factors that will decrease sperm count, thus impairing the accuracy of the test? Select all that apply.

A nurse is performing a Schirmer tear test on a patient.Which of the following interventions should the nurse make? Select all that apply.

A newborn's laboratory test results indicate increased androgen hormones and decreased aldosterone.The newborn is diagnosed with congenital adrenal hyperplasia of the salt-wasting type.Which of the following symptoms should the nurse expect to see in this patient? Select all that apply.

A patient objects to producing a semen specimen by masturbation due to religious concerns.What alternative methods of obtaining a specimen should the nurse mention to the patient? Select all that apply.

A newborn with severely decreased aldosterone levels develops adrenal crisis.This condition is characterized by which of the following symptoms? Select all that apply.

A patient's laboratory test results indicate an increased level of blood urea nitrogen (BUN) .The nurse understands that this finding is consistent with which of the following conditions? Select all that apply.