A x linked recessive inheritance b deficiency in

A) X-linked recessive inheritance
B) Deficiency in clotting factors
C) An excess supply of iron
D) Autosomal recessive inheritance
Ans: A
Feedback:
G6PD deficiency is an X-linked recessive disorder that affects the functioning of the
red blood cells. A deficiency in clotting factors is associated with disorders such as
idiopathic thrombocytopenia purpura, DIC, or hemophilia. An excess supply of iron
refers to hemosiderosis, a complication of thalassemia, an autosomal recessive
disorder.
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Chapter 47
Format: Multiple Choice
Client Needs: Physiological Integrity: Basic Care and Comfort
Cognitive Level: Understand
Integrated Process: Teaching/Learning
Page and Header: 1763, Food Allergies
1. While providing care to a 5-month-old girl whose family has a history of food
allergies, the nurse instructs the parents about foods to be avoided in the first year
of life. Which response by the parents indicates a need for further teaching?
A) “She cannot have any cow's milk.”
B) “I should continue breastfeeding until at least 6 months.”
C) “Peanuts in any form should be avoided.”
D) “Any kind of fruit is acceptable.”
Ans: D
Feedback:
The nurse should caution the parents that kiwifruit should be avoided. Other foods
to avoid include cow's milk, eggs, peanuts, tree nuts, sesame seeds, fish, and
shellfish. Breastfeeding also is recommended for at least the first 6 months.
Format:
Multiple Choice
Client Needs: Safe, Effective Care Environment: Management of Care
Cognitive Level: Apply
Integrated Process: Caring
Page and Header: 1765, 1766, Preventing and Managing Future Episodes
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2. A nurse is caring for a 12-year-old girl with a severe peanut allergy. The
girl's parents are upset because the school does not permit her to carry her EpiPen
with her. It must remain in the school's office per school regulations. Which
response by the nurse would be most appropriate?
A) “She is allowed by law to carry her EpiPen with her; I will talk to
school authorities.”
B) “Let's file an action plan and keep it in the school office in the event of
anaphylaxis.”
C) “Make sure she wears a medical alert bracelet so that school staff
know she has allergies.”
D) “I will be happy to train school authorities and staff to recognize
anaphylaxis.”
Ans: A
Feedback:
Public Law No. 108-377, the Asthmatic Schoolchildren's Treatment and Health
Management Act of 2004, was passed by the U.S. Congress. This law is intended to
ensure that students with severe allergies can carry prescribed medications such as
an EpiPen with them at all times. The nurse must contact the school and inform
them of this law so that the girl is allowed to carry her EpiPen on her person at all
times. The school staff should be trained to recognize anaphylaxis, there should be
an action plan on file, and the girl should wear a medical alert bracelet as well.