Reference no: EM133913597

Questions

1. A female client who is a carrier of a genetic illness asks the nurse if she should have her partner tested for the condition prior to starting a family. What is the nurse's best response?

A. If there is no incidence of this condition in his family, testing is not likely needed.
B. Since this is a condition that is linked to a recessive gene, testing may be advised.
C. If your partner does not have the illness, it is highly unlikely to pass on the condition.
D. You will pass this condition on to your child regardless of your partner's genetic status.

2. A new older female client at a long term care facility has a diagnosis of neurofibromatosis type 1. As part of the intake assessment protocol for the facility, the clinical educator is teaching the care staff about the diagnosis. Which statement most accurately conveys an aspect of neurofibromatosis?

A. "The neurofibroma lesions are unsightly for the client, but they are not painful."
B. "Her diagnosis puts her at higher risk of developing a malignant neoplasm."
C. "She is living with an example of an autosomal recessive disorder."
D. "The client is likely to be photosensitive as a result of the disease."

3. While preparing a client about to undergo percutaneous umbilical cord blood sampling (PUBS), which educational information should the nurse provide prior to the procedure? Select all that apply.

A. Once the procedure is begun, you must lie very still since they will be inserting a needle through the uterine wall.
B. We will put you into the stirrups and dilate your cervix with a small catheter so that we can obtain a cord sample.
C. During the procedure, an ultrasound will be utilized to guide the catheter into the correct position.
D. We will send a sample of amniotic fluid to a regional medical center to have DNA tests performed for any genetic abnormality.

4. The nurse is caring for a client with Marfan syndrome. Which assessment finding should the nurse prioritize as requiring the most emergent intervention? A sudden:

A. drop in blood pressure from 130/90 to 95/50 mm Hg.
B. complete loss of vision in a single eye.
C. drop in heart rate from 80 to 60 beats per minute.
D. onset of confusion and altered level of consciousness.

5. The nurse is caring for an 8-month-old male client who has just been diagnosed with hemophilia A. The parents ask about the likelihood that any future children would be born with the condition. What is the nurse's best response?

A. I cannot offer an opinion as the pattern of inheritance is unknown and you need to seek genetic counseling.
B. If you have another son there is a 50% chance that he will also have hemophilia.
C. There is a 50% chance that your next child will have hemophilia, but the severity varies and it could be a mild form.
D. Since you have already had a son with hemophilia, the chance that you will have another child with the condition is unlikely.