The family of an older adult client is wondering why his “blood counts” are not rising after his last GI bleed. They state, “He has always bounced back after one of these episodes, but this time it isn’t happening. Do you know why?” The nurse will respond based on which pathophysiologic principle?
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While taking a daily walk, the clinician is asked by a neigh…
While taking a daily walk, the clinician is asked by a neighbor what centric fusion (Robertsonian) translocation means. The neighbor tells the nurse that a family member has been diagnosed with this and is now afraid to have children. Given this diagnosis, what may be potential risks for her offspring?
Amniocentesis has suggested that a couple’s first child will…
Amniocentesis has suggested that a couple’s first child will be born with sickle cell disease. The parents are unfamiliar with the health problem and their caregiver is explaining the complexities. Which statement by the parents would suggest a need for further teaching or clarification?
The unique clinical presentation of a 3 month-old infant in…
The unique clinical presentation of a 3 month-old infant in the emergency department leads the care team to suspect botulism. Which assessment question posed to the parents is likely to be most useful in the differential diagnosis?
A client diagnosed with H. pylori asks the clinician, “How c…
A client diagnosed with H. pylori asks the clinician, “How can an infection occur in the stomach since it is an acid environment?” The clinician responds:
The health care provider knows that the cells primarily prog…
The health care provider knows that the cells primarily programmed to remove the invading organisms and remember the antigen to respond rapidly during the next exposure are:
A clinician is interviewing a client with fever, myalgia, he…
A clinician is interviewing a client with fever, myalgia, headache, and lethargy. Which question is most important for the clinician to ask related to identifying the cause of these symptoms and the possible need for quarantining the client?
Following a motor vehicle accident 3 months prior, a 20-year…
Following a motor vehicle accident 3 months prior, a 20-year-old female who has been in a coma since her accident has now had her condition declared a persistent vegetative state. How can her care providers most accurately explain an aspect of her situation to her parents?
The EMT volunteering in the medical tent for a road race on…
The EMT volunteering in the medical tent for a road race on a hot, humid day is asked to see a runner who has collapsed on the road. The EMT notes he has sunken eyes, a temperature of 100°F (37.7°C), and dizziness. These are signs of a fluid volume deficit. Recognizing fluid volume deficit, which of these interventions does the EMT carry out first?
Which individual would be most likely to experience global i…
Which individual would be most likely to experience global ischemia to his or her brain?