Genetic testing reveals that a client has alteration of CFH and ARMS2 genes, which increases the risk of age-related macular degeneration (AMD). Which health teaching should the nurse provide?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "You should make every effort to maintain a normal body weight."
2. "You should arrange your work and living quarters so that dimming vision will not be a safety issue."
3. "You should not smoke cigarettes."
4. "Your diet should be low in fat."
5. "You should take precautions to keep your stress level low."
1,3,4
Rationale 1: Obesity is a risk factor for development of AMD.
Rationale 2: While these two gene alterations do increase risk for AMD, it is not inevitable that the client will develop the disease.
Rationale 3: The strongest modifiable risk factor for AMD is cigarette smoking.
Rationale 4: High-fat diets are associated with increased risk of AMD.
Rationale 5: Keeping stress levels low is not protective against development of AMD.
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