Chapter 18-Dunphy Questions and Answers
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When Judy tells you that she has hemophilia, you know that
A. both of her parents also have the disease
B. her maternal grandfather probably had the disease and it skipped a generation
C. her father had the disease and her mother was a carrier
D. her mother had the disease C
Kathy, age 64, is a sun worshipper. She tells you that because she did not get skin cancer in her
youth, she certainly will not get it now. How do you respond?
A. "You're probably right; if you haven't had it by now, you're probably safe."
B. "As you age, you have decreased pigment in your skin, which puts you at more risk."
C. "Your skin elasticity is decreased, so you have more of a chance of contracting skin cancer as
you age."
D. "Skin cancer is not dependent on age; anyone can get it." B
Clients with AIDS typically experience the neurological symptomatic triad consisting of:
,A. Cognitive, motor, and behavioral changes.
B. seizures, paresthesias, and dysethesias
C. Kaposi's sarcoma, cryptococcal meningitis, and depression.
D. seizures, depression, and paresthesias A
The first choice of therapy for a client who is positive for HIV and has oral candidiasis is
A. fluconazole (Diflucan) 100 mg PO daily
B. ketoconazole (Nizoral) 200 mg PO daily
C. clotrimazole troches (10 mg) five times daily or nystatin (Mycostatin) suspension 500,000 to
1,000,000 units three to five times daily
D. griseofulvin (Grisactin) 500 mg bid C
Which of the following situations might precipitate a sickle cell crisis in an infant?
A. Taking the infant to visit a relative
B. Hepatitis B immunization
C. Taking the infant to an outdoor event
D. Increasing fluid intake C
,Shelley has esophageal cancer and asks you if alcohol played a part in its development. How do
you respond?
A. "Your cancer was caused by your cigarette smoking, nothing else."
B. "Alcohol is also a carcinogen."
C. "Alcohol directly alters the DNA and causes mutations."
D. "Alcohol modifies the metabolism of carcinogens in the esophagus and increases their
effectiveness." D
Screening infants for anemia should occur at what age?
A. 6 months
B. No screening is recommended
C. 9 months
D. 12 months C
Tobacco use has been linked to which of the following types of cancer?
A. Colon cancer
B. Bladder cancer
C. Prostate cancer
, D. Cervical cancer B
Julie's brother has chronic lymphatic leukemia. She overheard that he was in stage IV and asks
what this means. According to the Rai classification system, stage IV is a stage
A. at which the lymphocytes are greater than 10,000 mm3
B. with an absolute lymphocytosis, in which the client may live 7 to 10 years or more
C. of thrombocytopenia, in which the life expectancy may be only 2 years
D. of anemia C
When the donor and recipient of a transplant are identical twins, this is referred to as a(n)
A. isograft
B. autograft
C. allograft
D. xenograft A
Sue has sickle cell anemia. In regulating her and monitoring her hemoglobin and hematocrit
levels, you want to maintain them
A. slightly below normal