The nurse is providing care for a 21-year-old female client with ...

[yoroshambo]

The nurse is providing care for a 21-year-old female client with gas gangrene secondary to her compound fracture in her arm.
 
  Which of the following assessment findings would the nurse most reasonably expect to find when caring for a client with a diagnosis of gas gangrene?
  A)
  Inflammation of the affected tissue
  B)
  A positive culture for Staphylococcus
  C)
  Spreading edema
  D)
  Impaired alveolar gas exchange

Question 2

Which of the following patients are receiving treatment that has been developed utilizing recombinant DNA techniques? Select all that apply.
 
  A)
  Patient undergoing detection of gene location by chemically tagging DNA or RNA sequences
  B)
  Mother undergoing amniocentesis to diagnose a congenital adrenal hyperplasia
  C)
  End-stage renal disease patient receiving erythropoietin to stimulate RBC production
  D)
  Stroke victim receiving tissue plasminogen activator (tPA) to dissolve the thrombi
  E)
  Couple going to an infertility clinic for diagnostic testing

[blakcmamba]

Answer to Question 1

Ans:
C

Feedback:

Spreading edema is a cardinal sign of gas gangrene. It is often caused by Clostridium bacteria, not Staphylococcus. Inflammation may exist at the interface between affected and unaffected tissue, but not in the dead, affected tissue. Impaired gas exchange would not be a sign.

Answer to Question 2

Ans:
C, D

Feedback:

Recombinant DNA technology has made it possible to produce proteins that have therapeutic properties. These include erythropoietin, which is used to stimulate RBC production, and tissue plasminogen activator (tPA), which is frequently administered to dissolve thrombi. In situ hybridization involves the use of specific sequences of DNA/RNA to locate genes. Prenatally, the autosomal recessive disorder congenital adrenal hyperplasia is diagnosed through amniocentesis.

[yoroshambo]

Correct answers!

[blakcmamba]

Great! Please up vote