Which patient does the nurse recognize as being most likely to be affected by sickle cell disease?

A 28-year-old Israeli man

An 18-year-old Chinese woman

14-year-old African American boy

A 26-year-old Eastern European Jewish woman

Answer and Explanation

The Correct Answer is C

A. A 28-year-old Israeli man: Sickle cell disease is more prevalent in people of African, Mediterranean, Middle Eastern, and Indian ancestry. Israeli populations may have a higher prevalence of other genetic disorders, but sickle cell disease is not common in this group.

B. An 18-year-old Chinese woman: Sickle cell disease is relatively rare in individuals of Asian descent, including Chinese populations. It is more common in people of African, Mediterranean, or Middle Eastern heritage.

C. 14-year-old African American boy: Sickle cell disease is most commonly found in individuals of African descent. It is an inherited genetic disorder and is more prevalent in African Americans, making this the most likely group to be affected.

D. A 26-year-old Eastern European Jewish woman: Eastern European Jewish populations may have other inherited conditions, such as Tay-Sachs disease, sickle cell disease is less common among them compared to African, Mediterranean, or Middle Eastern populations.

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Free Nursing Study Resources

Correct Answer is ["A","B","E"]

Explanation

A. The student should use his quick-relief inhaler: The yellow zone indicates that the asthma is worsening, and the student should use a quick-relief inhaler (e.g., albuterol) to help relieve symptoms and prevent further exacerbation.

B. The student's asthma is not well controlled: The yellow zone typically suggests that asthma is not well controlled, and the student may be experiencing some symptoms (e.g., coughing, wheezing, shortness of breath). This requires action to prevent further worsening.

C. The nurse should obtain a second expiratory flow rate: Repeating the peak flow measurement is not always necessary. If the student is already in the yellow zone, it’s more important to initiate management and then reassess the symptoms and peak flow afterward.

D. The student needs to go to the hospital: A yellow zone reading does not necessarily mean the student needs to go to the hospital. It indicates the need for intervention but is not an emergency situation like the red zone would be, which requires immediate medical attention.

E. The student's peak flow is 50% to 80% of his best peak flow: The yellow zone is defined as 50% to 80% of the individual's best peak flow. This indicates that asthma symptoms are present and worsening but not yet at a critical level that would place the student in the red zone.

A. "There are new ways of protecting yourself from HIV that are being discovered every day." B. "Other than abstinence, only the consistent and correct use of condoms is effective in preventing HIV." C. "Only the correct use of a female condom protects against the transmission of HIV." D. "There's no way to be sure you won't get HIV except to use condoms correctly.”

Correct Answer is B

Explanation

A. "There are new ways of protecting yourself from HIV that are being discovered every day.": While new methods of HIV prevention are being researched, the most proven and reliable methods currently include consistent condom use and abstinence.

B. "Other than abstinence, only the consistent and correct use of condoms is effective in preventing HIV.": The most effective and scientifically proven methods to prevent HIV are abstinence and consistent, correct condom use.

C. "Only the correct use of a female condom protects against the transmission of HIV.": While female condoms are effective, they are not the only method. Male condoms, when used consistently and correctly, are also highly effective in preventing the transmission of HIV.

D. "There's no way to be sure you won't get HIV except to use condoms correctly.": While this is a true statement, it is negative and might be alarming. It also misses the opportunity to discuss abstinence as a complete preventive measure.

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Which patient does the nurse recognize as being most likely to be affected by sickle cell disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A college health nurse interprets the peak expiratory flow rate for a student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should base her actions on which of the following information? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

A 16-year-old has come to the clinic and asks to talk to a nurse. The teen states that she has become sexually active and is concerned about getting HIV. The teen asks the nurse what she can do to keep from getting HIV. What would be the nurse's best response?

Correct Answer is B

Explanation

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