Martha, 70, complains of fatigue and anemia. She has a family history of Waldenstrom's macroglobulinemia. The healthcare provider orders Immunofixation Electrophoresis. Why is Immunofixation Electrophoresis important for Martha's case?

To assess kidney function

To assess lung function

To identify the type of abnormal protein

To quantify WBCS

Answer and Explanation

The Correct Answer is C

A. Immunofixation electrophoresis is not primarily used to assess kidney function.

B. Immunofixation electrophoresis is not used to assess lung function.

C. Immunofixation electrophoresis is a laboratory technique used to identify and characterize abnormal proteins in the blood, which is essential in diagnosing conditions like Waldenstrom's macroglobulinemia.
D. Immunofixation electrophoresis is not used to quantify white blood cells (WBCs).

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Correct Answer is A

Explanation

A. A cough assist machine can help Alice clear secretions from her airways, reducing the risk of respiratory complications associated with spinal muscular atrophy.

B. Orthopedic shoes may help with support and stability but do not directly address Alice's respiratory needs.
C. While a wheelchair may be necessary for mobility, it does not address Alice's respiratory needs.
D. High-frequency chest wall oscillation devices are used to help clear mucus from the airways but may not be as appropriate for Alice's age and condition as a cough assist machine.

A. Assess for sternal tenderness and check for skin abrasions. B. Assess for sternal tenderness and measure oxygen saturation levels. C. Measure blood pressure and observe for signs of localized infection D. Measure oxygen saturation levels and auscultate lung sounds

Correct Answer is D

Explanation

A. While assessing sternal tenderness is relevant, skin abrasions may not directly indicate complications from the chest contusion.

B. Sternal tenderness can indicate underlying injuries but is not the priority compared to auscultation of the lung zones, and measuring oxygen saturation levels is crucial for assessing respiratory function and detecting potential complications such as respiratory distress or hypoxemia.
C. Blood pressure measurement and observation for signs of localized infection are important assessments but may not be directly related to complications from a chest contusion.
D. This is because a contusion across the chest from the seatbelt can cause rib fractures, pneumothorax, hemothorax, or pulmonary contusion, which can impair gas exchange and oxygenation. Measuring oxygen saturation levels and auscultating lung sounds can help detect these complications and guide appropriate interventions.

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Martha, 70, complains of fatigue and anemia. She has a family history of Waldenstrom's macroglobulinemia. The healthcare provider orders Immunofixation Electrophoresis. Why is Immunofixation Electrophoresis important for Martha's case?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Alice, 4, shows delays in reaching milestones like sitting and walking. Chetic testing confirms the SMN1 gene deletion characteristic of Spinal Muscular Atrophy. A pulmonary function test shows reduced FVC. Which piece of equipment would most benefit Alice at this stage?

Correct Answer is A

Explanation

John, a 35-year-old male involved in a motor vehicle accident, presents with a contusion across his chest from the seatbelt. Which two combined assessments should the nurse prioritize to detect potential complications?

Correct Answer is D

Explanation

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