a client with sickle cell disease is worried about passing the disease on to children which of the following statements by the pn is most appropriate

NCLEX-PN

Quizlet NCLEX PN 2023

1. A client with sickle cell disease is worried about passing the disease on to children. Which of the following statements by the PN is most appropriate for this client?

A. "You should discuss the inheritance risk with your physician."?
B. "Sickle cell disease is genetically based and might be passed on to children."?
C. "Sickle cell disease is genetically based and is not passed on to children."?
D. "Sickle cell disease is caused by an infection and cannot be passed on to children."?

Correct answer: B

Rationale: A client with sickle cell disease has a genetic condition that can be passed on to their offspring. The most appropriate statement for the PN to provide is to acknowledge this fact and inform the client that sickle cell disease is genetically based and might be passed on to children. This empowers the client with accurate information. Choice A has been refined to emphasize discussing the inheritance risk, making it a better option than the vague original choice. Choices C and D provide incorrect information. Sickle cell disease is indeed genetically based and can be inherited.

2. Is head lag expected to be resolved by 4 months of age? Continuing head lag at 6 months of age may indicate?

A. Dizziness and orthostatic hypotension.
B. Nausea, vomiting, diarrhea, or constipation, and stomach cramps.
C. Drowsiness, lethargy, and fatigue.
D. Neuropathy and tingling in the extremities.

Correct answer: B

Rationale: Head lag is a developmental milestone that should be resolved by 4 months of age. Continuing head lag at 6 months of age may indicate potential developmental delays or muscle weakness. The correct answer, 'Nausea, vomiting, diarrhea, or constipation, and stomach cramps,' reflects symptoms that could be associated with developmental delays or underlying health conditions. Dizziness and orthostatic hypotension (Choice A) are unlikely to be directly related to head lag. Choices C and D present symptoms that are unrelated to the issue of continued head lag at 6 months of age.

3. High uric acid levels can develop in clients who are receiving chemotherapy. This can be caused by

A. the kidneys' inability to excrete the drug metabolites.
B. rapid cell catabolism.
C. toxic effects of the prophylactic antibiotics given concurrently.
D. the altered blood pH from the acidic nature of the drugs.

Correct answer: B

Rationale: The correct answer is 'rapid cell catabolism.' Chemotherapy leads to the destruction of cells, resulting in increased uric acid levels due to cell breakdown. Choice A is incorrect because the issue is not with the kidneys' ability to excrete the drug metabolites but rather with the cell breakdown. Choice C is incorrect as the question focuses on chemotherapy and its effects, not prophylactic antibiotics. Choice D is incorrect as the question pertains to the development of high uric acid levels, not altered blood pH from acidic drugs.

4. Which of the following individuals is at the highest risk for suicide?

A. 76-year-old widow with chronic renal failure
B. 19-year-old with new SSRI therapy
C. 28-year-old post-partum crying weekly
D. 50-year-old client with obsessive-compulsive disorder (OCD) and depression

Correct answer: A

Rationale: The correct answer is the 76-year-old widow with chronic renal failure. Elderly individuals with chronic diseases, especially men, are at very high risk for suicide. The other choices, although they may be vulnerable populations, do not carry as high a risk for suicide. The 19-year-old with new SSRI therapy may actually have a lower risk as they are receiving treatment. The 28-year-old post-partum individual is experiencing a common emotional response after childbirth, which is not necessarily indicative of a high suicide risk. The 50-year-old with OCD and depression is at risk but not as high as elderly individuals with chronic illness.

5. How can light therapy be effective?

A. overcoming weight problems.
B. helping with allergies.
C. use in alternative medical treatments.
D. working with sleep patterns.

Correct answer: D

Rationale: Light therapy can be effective in treating problems associated with sleep patterns, stress, moods, jaundice in newborns, and seasonal affective disorders. While light therapy is not typically used for overcoming weight problems or helping with allergies, it is specifically known for its benefits in regulating sleep patterns. Therefore, the correct answer is 'working with sleep patterns.' Choices A, B, and C are incorrect as light therapy is not commonly utilized for overcoming weight problems, helping with allergies, or as a general alternative medical treatment.