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 C

Explanation

A. While track marks could indicate drug use, this alone does not necessitate a report to an outside agency unless there is evidence of harm to self or others, or if there are suspicions of a substance abuse issue that warrants intervention.

B. Emancipated minors have the legal right to make their own medical decisions, including refusing treatment. In this case, the nurse would ensure the patient is informed of the risks of leaving and document the refusal, but there’s no requirement to disclose to an outside agency.
C. A spiral fracture can be indicative of abuse, particularly if the mechanism of injury is not consistent with the explanation provided. In many jurisdictions, healthcare providers are mandated reporters for suspected abuse or neglect in dependent adults.
D. This situation typically does not involve any legal or ethical obligation to report to outside agencies. Glomerulonephritis is a medical condition and does not indicate any need for disclosure, as it does not suggest abuse or neglect.

A. The client has ulcerative colitis. B. The client eats mostly prepackaged, processed foods. C. The client has had treatment for gastrointestinal cancer. D. The client has had gastric bypass surgery. E. The client eats red meat daily.

Correct Answer is ["A","B","C","D"]

Explanation

A. Ulcerative colitis can lead to iron deficiency anemia due to chronic inflammation, intestinal bleeding, and malabsorption of nutrients. The disease often affects the colon, which can result in blood loss and inadequate iron absorption.
B. A diet high in prepackaged and processed foods is often low in essential nutrients, including iron. These foods may lack whole grains, fruits, vegetables, and other sources of dietary iron, increasing the risk of iron deficiency anemia.
C. Treatment for gastrointestinal cancer, such as surgery or chemotherapy, can lead to changes in absorption and increased risk of bleeding. This history can significantly elevate the risk for developing iron deficiency anemia due to potential blood loss and malabsorption issues.
D. Gastric bypass surgery can lead to iron deficiency anemia due to reduced stomach size and changes in the gastrointestinal tract that impair nutrient absorption. Patients often need to supplement their diet with iron and other vitamins after surgery.
E. Eating red meat daily is generally associated with an adequate intake of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant sources. While it's important to consider overall dietary patterns, this particular factor does not typically pose a risk for iron deficiency anemia.

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Which term best describes sickle cell disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?

Correct Answer is C

Explanation

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as possible risk factors for iron deficiency anemia?(Select All that Apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse-manager discovered that a nurse was retrieving narcotics from sharps containers and has been abusing these medications for several months. When addressing this behavior and assisting the nurse, what factor should the manager prioritize?

A client with frequent watery stools and a possible Clostridium difficile infection is hospitalized with dehydration. Which nursing action should the charge nurse assign to an LPN?

A nurse is providing discharge teaching to a client who had a sickle cell crisis. Which of the following health promotion strategies should the nurse include in the teaching?(Select All that Apply.)

A member of the team has been delegated some tasks and reports, "I've been given too much to do and I'm not going to be able to complete the work on time." What is the RN's best initial action?

What consideration should the nurse-manager prioritize when creating a program to deal with the issue of substance abuse by employees?

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?

Which of the following behaviors would not have disciplinary or legal consequences?