A female client who is a carrier of the gene for Duchenne's muscular dystrophy asks whether any of her daughters will have this disease. Which is the nurse's best response?
a. "Both parents must have the defective gene."
b. "Your daughter cannot get the disease."
c. "Your daughters have a 50% chance of developing the disease."
d. "Your daughters will become carriers of the gene."
B
Women who are carriers have a 50% chance of passing the gene to their daughter, who then are carriers, and to their sons, who then have the disease. This type of muscular dystrophy affects only males. The other responses are not accurate.
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What does it mean to be the designated driver?
a. The designated driver is the one with a car on campus
b. The designated driver is the one who is best at driving after drinking, and most comfortable talking to police
c. The designated driver is the one who is the least intoxicated after a night of drinking
d. The designated driver does not drink any alcohol while out with friends who are drinking
Explanation: 1. This supports a diagnosis of risk for ineffective protection. 2. Caregiver role strain is the priority since the son needs to help the older patient who is hard of hearing and has difficulty completing activities of daily living. The son may become stressed with having to help the older patient as well as himself with care needs. 3. This supports a diagnosis of situational low
self-esteem. 4. This supports a diagnosis of social isolation. 1. Indicators of abuse screen 2. AMA assessment protocol 3. Adult protective services report 4. Brief abuse screen for the elderly 5. Hwalek-Sengstock elder abuse screening test
The Health Insurance Portability and Accountability Act (HIPAA) mandates that health information can be shared: (Select all that apply.)
a. In order to provide treatment for the patient. b. To determine billing and payment issues. c. To enhance health care operations related to the patient. d. In public areas such as the cafeteria or elevator. e. Over the telephone with any family member
A 33-year-old woman has irritable bowel syndrome (IBS). The physician has prescribed simethicone (Mylicon) for her discomfort. Which of the following will the nurse monitor most closely during the patient's drug therapy?
A) Drug toxicity B) Anorexia C) Increased abdominal pain and vomiting D) Increased urine output