The nurse is planning to construct a three-generation pedigree for a client with a heritable disorder. Which step should be the nurse's first priority?
1. Determine if any persons in the client's immediate family are affected by the disorder.
2. Discuss the cost of this work with the client.
3. Obtain informed consent from living family members.
4. Have the client complete a questionnaire detailing as much family history as is currently known.
3
Rationale 1: This information should surface as work on the pedigree progresses. It is not the priority at this time.
Rationale 2: Cost will be a factor but is not the primary issue.
Rationale 3: Ideally, family members would sign an informed consent prior to genetic testing or pedigree analysis.
Rationale 4: This is a starting point for constructing a pedigree but is not the priority intervention.
You might also like to view...
Which is the most important legal statement about creating personal Web pages?
1. A Web page developer does not have to abide by copyright laws before posting information. 2. A Web page developer must review copyright laws before posting information. 3. Nonprofit organizations are the only entities that must abide by copyright laws. 4. For profit agencies are the only entities that must abide by copyright laws.
Which of the following statements, if made by a pregnant client, would indicate that she understands health promotion during pregnancy?
1. "I lie down after eating to relieve heartburn." 2. "I try to limit my fluid intake to three or four glasses each day." 3. "I elevate my legs while sitting at my desk." 4. "I am avoiding exercise to stay well rested."
The nurse is caring for a child who has a long leg cast. The child complains of increasing pain in the toes of the foot in the cast. The nurse's initial action is to:
1. Call the physician to report increasing pain. 2. Administer pain medication. 3. Reposition the child in bed. 4. Check to see whether the cast is too tight.
Which drug of choice should the nurse anticipate administering to a patient with severe new onset pain due to trigeminal neuralgia?
A) Gabapentin B) Carbamazepine C) Baclofen D) Phenytoin