The parent of a child with a urinary tract infection is concerned that the child may develop a genetic kidney problem in the future. What information provided by the parent should the nurse use to determine the child's risk for a genetic kidney disorder?
1. "My mother had lots of cysts on her kidneys."
2. "I have a bladder infection at least once a year."
3. "The child's father has Parkinson disease."
4. "My father had kidney cancer."
Correct Answer: 1
When conducting a health assessment interview and physical assessment, it is important for the nurse to consider genetic influences on health. During the health assessment interview, ask about family members with health problems affecting kidney function, or of family members diagnosed with polycystic disease. A grandmother with polycystic kidney disease increases the grandchild's risk for having the disorder. A yearly bladder infection in a mother is not the most important indicator of a genetic kidney disorder. Parkinson disease is not associated with kidney disease. Kidney cancer is not highly associated with heredity.
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