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Nur170 Exam 1: Questions & 100% Accurate Solutions
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Nur170 Exam 1: Questions & 100% Accurate Solutions
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Nur170 Exam 1: Questions & 100% Accurate SolutionsA nurse is educating a client about genetic screening. The client asks why red-
green color blindness, an X-linked recessive disorder noted in some of her
family members, is expressed more frequently in males than females. How
should the nurse respond? Right Ans - The incidence of X-linked recessive
disorders is higher in males because they do not have a second X chromosome
to balance expression of the gene
A client is typed and crossmatched for a unit of blood. Which statement by the
nurse indicates a need for further genetic education? Right Ans - If the
clients blood type is AB, then the client is homozygous for that trait.
A nurse cares for a client of Asian descent who is prescribed warfarin
(Coumadin). What action should the nurse perform first? Right Ans -
Confirm the prescription starts warfarin at a lower-than-normal dose
A nurse obtains health histories when admitting clients to a medical-surgical
unit. With which client should the nurse discuss predisposition genetic
testing? Right Ans - Middle-aged woman whose mother died at age 48 of
breast cancer
A client who tests positive for a mutation in the BRCA1 gene allele asks a
nurse to be present when she discloses this information to her adult daughter.
How should the nurse respond? Right Ans - . This conversation may be
difficult for both of you; I will be there to provide support
A nurse consults a genetic counselor for a client whose mother has
Huntington disease and is considering genetic testing. The client states, I
know I want this test. Why do I need to see a counselor? How should the nurse
respond? Right Ans - Genetic testing can be a stressful experience.
Counseling can provide support and education throughout the process.
A health care provider prescribes genetic testing for a client who has a family
history of colorectal cancer. Which action should the nurse take before
scheduling the client for the procedure? Right Ans - Confirm that informed
consent was obtained and placed on the clients chart.
,A nurse cares for an adult client who has received genetic testing. The clients
mother asks to receive the results of her daughters genetic tests. Which action
should the nurse take? Right Ans - Direct the mother to speak with the
client and support the clients decision to share or not share the results.
A nurse cares for a client who has a genetic mutation that increases the risk
for colon cancer. The client states that he does not want any family to know
about this result. How should the nurse respond? Right Ans - It is not
required that you tell anyone about this result. However, your siblings and
children may also be at risk for colon cancer and this information might help
them.
A nurse cares for a client who has a specific mutation in the a1AT (alpha1-
antitrypsin) gene. Which action should the nurse take? Right Ans - Advise
the client to limit exposure to secondhand smoke and other respiratory
irritants.
A nurse cares for a pregnant client who has a family history of sickle cell
disease. The client is unsure if she wants to participate in genetic testing.
What action should the nurse take? Right Ans - Provide information about
the risks and benefits of genetic testing
A nurse cares for a client who recently completed genetic testing and received
a negative result. The client states, I feel guilty because so many of my family
members are carriers of this disease and I am not. How should the nurse
respond? Right Ans - We usually encourage clients to participate in
counseling after receiving test results. Can I arrange this for you?
A nurse cares for a client who recently completed genetic testing that revealed
that she has a BRCA1 gene mutation. Which actions should the nurse take
next? (Select all that apply.) Right Ans - Discuss potential risks for other
members of her family.
Assist the client to make a plan for prevention and risk reduction.
Assess the clients response to the test results
A nurse completes pedigree charts for clients at a community health center.
Which diagnosis should the nurse refer for carrier genetic testing? (Select all
that apply.) Right Ans - Hemophilia
, Sickle cell disease
Cystic fibrosis
A nurse teaches clients about patterns of inheritance for genetic disorders
among adults. Which disorders have an autosomal dominant pattern of
inheritance? (Select all that apply.) Right Ans - Breast cancer
Huntington disease
Marfan syndrome
An older client is hospitalized after an operation. When assessing the client for
postoperative infection, the nurse places priority on which assessment?
Right Ans - Change in behavior
A preoperative nurse is assessing a client prior to surgery. Which information
would be most important for the nurse to relay to the surgical team? Right
Ans - Use of multiple herbs and supplements
A nurse works on the postoperative floor and has four clients who are being
discharged tomorrow. Which one has the greatest need for the nurse to
consult other members of the health care team for post-discharge care?
Right Ans - Older adult who lives at home despite some memory loss
A clinic nurse is teaching a client prior to surgery. The client does not seem to
comprehend the teaching, forgets a lot of what is said, and asks the same
questions again and again. What action by the nurse is best? Right Ans -
Assess the client for anxiety
A preoperative nurse is reviewing morning laboratory values on four clients
waiting for surgery. Which result warrants immediate communication with
the surgical team? Right Ans - Potassium: 2.9 mEq/L
An inpatient nurse brings an informed consent form to a client for an
operation scheduled for tomorrow. The client asks about possible
complications from the operation. What response by the nurse is best?
Right Ans - Do not have the client sign the consent and call the surgeon
A client has a great deal of pain when coughing and deep breathing after
abdominal surgery despite having pain medication. What action by the nurse
is best? Right Ans - Demonstrate how to splint the incision
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