A client with autosomal dominant polycystic kidney disease (ADPKD) asks whether his children could develop this disease. Which is the nurse's best response?
a. "No genetic link is known, so your child-ren are not at increased risk."
b. "The disease is sex linked, so only your sons could be affected."
c. "Both you and your wife must have the disease for your children to develop it."
d. "Each of your children has a 50% risk of having ADPKD."
D
ADPKD is transmitted as an autosomal dominant trait and therefore is not gender specific. Children whose parents have the autosomal dominant form of PKD have a 50% chance of inhe-riting the gene that causes the disease.
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A patient is administered mesna (Mesnex) to prevent cystitis induced by ifosfamide. How will this medication combination prevent cystitis?
A) The medications increase urine output related to ifosfamide. B) The medications decrease viral load related to ifosfamide. C) The medications increase white blood cells related to ifosfamide. D) The medication combines with the metabolite of ifosfamide.
A 14-year-old female patient tells the school nurse that she frequently cuts herself. The nurse is very upset by this information. What is the best action by the nurse?
1. Report the problem to the principal. 2. Call the girl's parents and suggest a psychiatric evaluation. 3. Reflect on her own reactions and focus on responding to the patient's needs. 4. Shift the conversation to the girl's academic performance.
A client who is in perimenopause is having a number of severe symptoms. The nurse assesses this client and knows the doctor will likely prescribe what to assist in relieving the distress?
1. Calcium and vitamin D 2. A form of hormonal contraception 3. Prescriptive pain medication 4. Antibiotics
Your résumé should include your
A) telephone number. B) marital status. C) age. D) number of children.