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 D

Explanation

A. While concerns about making false reports are understandable, they should not prevent a nurse from reporting suspected abuse. In many jurisdictions, "good faith" reporting protects individuals who report suspected abuse from liability, even if the report turns out to be false.
B. A nurse does not need concrete evidence to report suspected child abuse. The law typically requires that suspicion alone is sufficient to warrant a report. Nurses are encouraged to report any suspicion of abuse to ensure that the appropriate authorities can investigate.
C. Commitment from a potential abuser to stop the abuse does not negate the responsibility to report. Mandatory reporting laws require that any suspicion of child abuse be reported to the appropriate authorities, regardless of the abuser's intentions.
D. This statement accurately reflects the legal obligation of health care professionals. If a nurse has any suspicion of child abuse, they are mandated to report it to the appropriate authorities. This ensures that investigations can occur and that children are protected from potential harm.

A. It is high because the RN is automatically held liable for the tasks delegated to all recognized subordinates. B. It is minimal because subordinates alone are held accountable for practicing within the accepted scope of practice for their job classification. C. is reduced when the RN delegates appropriately and supervises the completion of the tasks. D. It is avoided entirely as long as the nurse delegates only other licensed personnel

Correct Answer is C

Explanation

A. While RNs can be held liable for their actions and, to some extent, for the actions of those they delegate to, liability is not automatic for all tasks delegated. Liability depends on whether the RN acted appropriately in the delegation process and whether the delegated tasks were performed within the subordinate's scope of practice.
B. While subordinates are accountable for their actions, RNs also share responsibility when they delegate tasks. If the RN delegates a task inappropriately or fails to supervise adequately, they may still be held liable for any resulting harm.
C. This statement is true. When RNs delegate tasks appropriately, ensuring that they are within the subordinate's scope of practice and providing adequate supervision, their liability is reduced. Proper delegation includes assessing the situation, providing clear instructions, and monitoring the outcomes.
D. While delegating to licensed personnel may reduce some liability, it does not eliminate it entirely. RNs still have a duty to ensure that the tasks delegated are appropriate for the individual’s scope of practice and to provide supervision.

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Which term best describes sickle cell disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

Which statement is true regarding the general delegation liability of the registered nurse (RN)?

Correct Answer is C

Explanation

A nurse is preparing to administer morphine 4 mg IV bolus to a client who reports pain. Available is morphine 10 mg/mL. Which of the following actions should the nurse take?

A client who fell and broke his hip while being assisted to the bathroom by a nurse states he plans to sue the nurse. The nurse should know that, in a legal proceeding, the standard that will be used to determine if the nurse was negligent is which of the following?

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 nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which of the following actions is considered outside the nurse's responsibilities?

A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?

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?

In which situation would the nurse be justified in overriding a client's right to confidentiality?