Which term best describes sickle cell disease?

autosomal recessive disorder

X-linked genetic disorder

autosomal dominant disorder

inherited disorder

Answer and Explanation

The Correct Answer is A

A.   Sickle cell disease is classified as an autosomal recessive disorder. This means that a child must inherit two copies of the mutated gene (one from each parent) to express the disease. Individuals with one normal and one mutated gene are carriers (sickle cell trait) but do not exhibit symptoms.
B.   X-linked genetic disorders are caused by mutations on the X chromosome and typically affect males more severely than females, as males have only one X chromosome. Sickle cell disease is not located on the X chromosome; therefore, it is not classified as X-linked.
C.   In an autosomal dominant disorder, only one copy of the mutated gene is needed for an individual to express the disease. Sickle cell disease does not follow this inheritance pattern; it requires two copies of the mutated gene, which makes this classification inaccurate.
D.   While sickle cell disease is indeed an inherited disorder, this term is broad and could apply to many genetic conditions. It describes the general nature of the disease but does not provide the specificity that "autosomal recessive disorder" does.

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Correct Answer is ["B","D","F"]

Explanation

A. While nonsteroidal anti-inflammatories (NSAIDs) are commonly used medications, they do not typically have a high potential for abuse or addiction. Monitoring these medications for diversion is generally not a primary concern compared to other classifications.
B. Opioids are one of the most commonly abused medication classes due to their pain-relieving properties and high potential for addiction. They are frequently monitored closely for signs of diversion and theft in healthcare settings.
C. Although some antidepressants may have mild abuse potential, they are not generally associated with the same level of diversion or abuse as opioids, benzodiazepines, or stimulants. Therefore, they are not typically monitored as closely.
D. Benzodiazepines are known for their sedative effects and potential for dependency and abuse. They are often misused for their calming effects, making them a priority for monitoring in medication inventories.
E. Anticholinergics are not commonly associated with abuse or diversion. They are used primarily for specific medical conditions and do not have a high potential for addiction, so monitoring these medications is not a primary focus.
F. Central nervous system (CNS) stimulants, such as those used to treat ADHD, have significant potential for abuse and dependency. These medications can lead to feelings of euphoria and are often misused, making them important to monitor closely for diversion.

A. Promptly confront the nurse to discuss this suspicion B. Ask the other nurses and staff members on the unit if they have noticed the same thing C. Document this finding and communicate with the personnel department D. Monitor the nurse's behavior closely for the remainder of the shift

Correct Answer is D

Explanation

A. While it is important to address concerns about impairment, confronting the nurse directly can be counterproductive and may escalate the situation. It is essential to approach the situation with caution and follow established protocols for dealing with suspected substance impairment.
B. While gathering observations from colleagues may seem reasonable, it can create a culture of gossip and may violate confidentiality. This approach can also lead to misinformation and should not be the first step in addressing a serious concern about a colleague's safety and well-being.
C. Documenting observations is important, but it should not be the sole action taken at this point. Communicating with the personnel department is part of the process if the situation escalates, but immediate action is necessary to ensure patient safety.
D. This option is the most appropriate initial action. By closely monitoring the nurse’s behavior, the manager can gather more information before taking further steps. This approach allows for the collection of objective data and ensures patient safety while avoiding premature accusations.

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Which term best describes sickle cell disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When monitoring medication inventories for possible diversion or theft by nurses who abuse chemicals, what medication classifications should be monitored most closely? [SELECT ALL THAT APPLY]

Correct Answer is ["B","D","F"]

Explanation

A nurse is uncharacteristically extroverted on today's shift, with an unsteady gait. The manager suspects that the nurse may be chemically Impaired. What is the manager's most appropriate action?

Correct Answer is D

Explanation

A nurse at a community clinic is reinforcing education for a newly licensed nurse about nursing advocacy. Which of the following actions should the nurse include as an example of nursing advocacy?

A nurse is selecting a qualified staff member to double check a blood label with a client ID bracelet prior to infusing a unit of blood. The nurse should identify that which of the following persons is qualified?

A nurse is admitting a client who has sickle cell anemia. Which of the following manifestations should the nurse expect with this condition?(Select All that Apply.)

A nurse accidentally administers the wrong medication to a client, which results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

The care of a client is assigned to a newly-graduated RN. What actions can the newly-graduated RN delegate to the unlicensed assistive personnel (UAP)? [SELECT ALL THAT APPLY]

A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indicates an understanding by the newly licensed nurse?

A nurse plans to leave her scheduled shift an hour early without permission or notification of the charge nurse. The clients in the nurse's assignment are stable. Which of the following legal terms applies to this situation?