Microbiology Fundamentals: A Clinical Approach - Standalone book
Microbiology Fundamentals: A Clinical Approach - Standalone book
2nd Edition
ISBN: 9780078021046
Author: Marjorie Kelly Cowan Professor, Jennifer Bunn
Publisher: McGraw-Hill Education
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Chapter 8.6, Problem 5NP

Chapter 8.6, Problem 5NP, NCLEX PREF 4. A client is being treated with recombinant insulin, Lispro, and asks the nurse to NCLEX® PREF

4. A client is being treated with recombinant insulin, Lispro, and asks the nurse to explain what is meant by the term recombinant during their teaching session. Which statement should the nurse make to the client?

  1. a. This type of insulin is similar in structure to the insulin that is produced in your body, so there is less likelihood of developing a reaction than if a different type of insulin was used.
  2. b. DNA recombinant medication utilizes genes that were transferred from one organism to another to cause a desired effect.
  3. c. DNA recombinant medication, Lispro, is the same as other insulin preparations but has a longer onset of action.
  4. d. Using Lispro will reduce the need for frequent Accu-chek testing during a 24-hour period.
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A sample of blood was taken from the above individual and prepared for haemoglobin analysis. However, when water was added the cells did not lyse and looked normal in size and shape. The technician suspected that they had may have made an error in the protocol – what is the most likely explanation?   The cell membranes are more resistant than normal.   An isotonic solution had been added instead of water.   A solution of 0.1 M NaCl had been added instead of water.   Not enough water had been added to the red blood cell pellet.   The man had sickle-cell anaemia.
A sample of blood was taken from the above individual and prepared for haemoglobin analysis. However, when water was added the cells did not lyse and looked normal in size and shape. The technician suspected that they had may have made an error in the protocol – what is the most likely explanation?   The cell membranes are more resistant than normal.   An isotonic solution had been added instead of water.   A solution of 0.1 M NaCl had been added instead of water.   Not enough water had been added to the red blood cell pellet.   The man had sickle-cell anaemia.
With reference to their absorption spectra of the oxy haemoglobin intact line) and deoxyhemoglobin (broken line) shown in Figure 2 below, how would you best explain the reason why there are differences in the major peaks of the spectra? Figure 2. SPECTRA OF OXYGENATED AND DEOXYGENATED HAEMOGLOBIN OBTAINED WITH THE RECORDING SPECTROPHOTOMETER 1.4 Abs < 0.8 06 0.4 400 420 440 460 480 500 520 540 560 580 600 nm 1. The difference in the spectra is due to a pH change in the deoxy-haemoglobin due to uptake of CO2- 2. There is more oxygen-carrying plasma in the oxy-haemoglobin sample. 3. The change in Mr due to oxygen binding causes the oxy haemoglobin to have a higher absorbance peak. 4. Oxy-haemoglobin is contaminated by carbaminohemoglobin, and therefore has a higher absorbance peak 5. Oxy-haemoglobin absorbs more light of blue wavelengths and less of red wavelengths than deoxy-haemoglobin

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Microbiology Fundamentals: A Clinical Approach - Standalone book

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