Free OMSB_OEN Exam Dumps August 2026

In patients with Sickle Cell Disease (SCD), a high reticulocyte level is commonly observed.

High Platelet Level: This is not typically associated with SCD.

Low Hematocrit Level: While common in SCD due to anemia, it is not as specific as reticulocyte count.

Low Leucocyte Level: This is not characteristic of SCD.

High Reticulocyte Level: Elevated reticulocyte count indicates increased red blood cell production in response to chronic hemolysis (breakdown of red blood cells) seen in SCD.

National Heart, Lung, and Blood Institute (NHLBI): Sickle Cell Disease

American Society of Hematology (ASH): Sickle Cell Disease and Reticulocyte Count

When assessing the health of a family, considering their genetic predispositions to certain conditions falls under the category of bio-cultural factors. These factors include genetic traits, physical characteristics, and biological variations that can influence health. In this case, the nurse's awareness of the genetic predisposition of Asian individuals to cardiovascular diseases helps in understanding the family's health risks.

Spector, R. E. (2017). Cultural Diversity in Health and Illness. Pearson.

A missed abortion refers to a situation where the fetus dies in the uterus but is not expelled. This condition is also known as a silent miscarriage. The woman may not experience the typical symptoms of miscarriage, such as bleeding or cramping, and the diagnosis is often made during a routine ultrasound when no fetal heartbeat is detected. Complete abortion involves the complete expulsion of fetal tissue, inevitable abortion is when the miscarriage cannot be stopped, and threatened abortion refers to any bleeding in the first 20 weeks of pregnancy without cervical dilation.

Caring for a woman with gestational diabetes complications falls under health restoration. Health restoration involves actions taken to return a patient to their previous state of health or to manage chronic conditions. This includes managing and treating complications to improve health outcomes. Health promotion focuses on preventing health problems through lifestyle changes, health maintenance involves ongoing monitoring and prevention of deterioration, and health rehabilitation focuses on helping patients recover functionality after severe illness or injury.

Cushing Syndrome Symptoms:

Cushing syndrome is characterized by high levels of cortisol which can lead to brittle bones (osteoporosis), easy bruising, and muscle weakness.

Best Nursing Actions:

Review Calcium Level: Important but not the immediate priority to prevent fractures.

Orthopedic Clinic Visit: Necessary for follow-up but not the immediate action.

High Protein Diet: Important for muscle strength but secondary to immediate safety.

Protective Environment: Preventing falls and injuries is the best immediate action to avoid further fractures and bruising. Ensuring the patient's environment is safe and free from hazards is essential.

Mayo Clinic guidelines on Cushing Syndrome

American Association of Clinical Endocrinologists (AACE)

Chronic Conditions and ADLs:

Older adults are more likely to suffer from chronic conditions such as arthritis, hypertension, heart disease, and diabetes. These conditions can lead to some limitations in Activities of Daily Living (ADLs), which include tasks like bathing, dressing, eating, and walking.

According to the Centers for Disease Control and Prevention (CDC), chronic diseases are the leading cause of death and disability in the United States, and they significantly impact the quality of life of older adults.

Living Arrangements:

While many older adults do live independently or in home care settings, a significant number also live with chronic conditions that impact their ADLs, hence answer B is less accurate compared to A.

As per the Administration for Community Living (ACL), the majority of older adults do live independently; however, chronic conditions still play a significant role in their daily lives.

Labor Force Participation:

There is an increase in the percentage of older adults in the labor force, but this is not a primary characteristic affecting most older adults today.

Marital Status and Mortality:

Studies have shown that married individuals often have a lower mortality rate compared to unmarried individuals, making option D incorrect.

Centers for Disease Control and Prevention (CDC)

Administration for Community Living (ACL)

Nurse's Advocacy Role:

Advocacy involves supporting and promoting the interests and well-being of patients, especially when they are unable to do so themselves due to various barriers.

Case Analysis:

70-year-old stroke patient with son: Likely has family support and an advocate in the son.

Newborn with mother for breastfeeding: Mother is present to provide care and advocacy.

15-year-old awaiting consent for surgery: Typically has parental or guardian support for decision-making.

40-year-old with language barrier: This patient needs advocacy to ensure clear communication and understanding of postoperative care and complications due to the language barrier.

American Nurses Association (ANA) on Patient Advocacy

Joint Commission guidelines on effective communication in healthcare

Respecting culturally determined behaviors involves acknowledging and accommodating a patient's cultural and religious practices. In Omani culture, and many Islamic cultures, prayer is an important practice. Allowing the patient time to pray before the operation demonstrates cultural sensitivity and respect for her religious beliefs. Maintaining eye contact and physical contact like rubbing shoulders may not be culturally appropriate in some cases. Therefore, the best option reflecting cultural respect is providing time for prayer.