Aten year old girl is experiencing an acute exacerbation of her asthma. which medication will provide the fastest relief of symptoms?
a. leukotrienes such as zileuton
b. anti leukotrienes such as zafirlukast
c. beta - 2 adrenergic agonist
d. anti inflammatory agent

Aclient with pernicious anemia asks why she must take vitamin b12 injections for the rest of her life. what is the nurse's best response? a. "the reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sutficient acid." b. "the reason for your vitamin deficiency is an inability to absorb the vitamin because the stomach is not producing sufficient intrinsic factor." c. "the reason for your vitamin deficiency is an excessive excretion of the vitamin because of kidney dysfunction." d. "the reason for your vitamin deficiency is an increased requirement for the vitamin because of rapid red blood cell production."

Apatient who is 38 years of age is diagnosed with autosomal dominant polycystic kidney disease, a hereditary disease that results in fluid-filled cysts occupying space in the kidneys. the cysts can interfere with the function of the kidney and may burst and cause bleeding inside the kidney. the patient with polycystic kidney disease may or may not have a berry aneurysm of a blood vesseel in the brain that could lead to bleeding and death, cysts on the ovaries, and a mitral valve prolapse (in females) that can lead to dysrhythmias (irregular heart rhythms), or diverticula (outpouching of the bowel) that are susceptible to infection and inflammation and may lead to gastrointestinal bleeding. the patient is susceptible to retaining fluid in the abdomen so the abdomen is large to constipation, and to hypertension. there is no cure for the disease. the patient receives supportive care for the various symptoms or complications the patient may have. a. when explaining to the patient and the family about polycystic kidney disease, the nurse should explain what characteristics about an autosomal dominant genetic disease? b. how does variable expression of genetic characteristics play a role in the course of polycystic kidney disease and how can the nurse further predict the level of the disease? c. identify the roles of the nurse in integrating genetics in the nursing care provided for the patient.

Aperson was admitted in a coma. analysis of the arterial blood gave the following vlues: pco2 16 mm hg hco3-5 mmol/l and ph 7.1. what is the underlying acid-base disorder? a. metabolic acidosis b. metabolic alkalosis c. respiratory acidosis d. respiratory alkalosis