A nurse is reinforcing information about genetic counseling to a client with sickle cell disease (SCD) who has a healthy spouse. What information does the nurse include?
A. "Sickle cell disease will be inherited by your children."
B. "The sickle cell trait will be inherited by your children."
C. "Your children will have the disease, but your grandchildren will not."
D. "Your children will not have the disease, but your grandchildren could."
Answer: B. "The sickle cell trait will be inherited by your children."
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An unidentified patient was injured in a hit-and-run accident and was conscious. When asked how he felt, the patient looked very confused and responded in a language the nurse did not recognize. Which of the following actions should the nurse take next?
a. Look closely at the person, try to determine the patient's ethnic background, and then seek someone fluent in his language b. Report the language barrier to administration, and let them handle the problem c. Tell the unit supervisor so various translators can be brought to the floor until the language is recognized and communication can be established d. Use gestures and pantomime until the nurse is able to determine what language the patient is speaking
What would be a priority nursing diagnosis for a patient being treated for colon cancer?
A) Risk for ineffective therapeutic regimen management related to knowledge deficit concerning the diagnosis, the surgical procedure, and self-care before discharge B) Imbalanced nutrition, more than body requirements, related to nausea and anorexia C) Risk for excess fluid volume related to vomiting and dehydration D) Ineffective sexuality patterns related to presence of ostomy and changes in body image and self-concept
An older Asian American patient tells the nurse that she has lived in the United States for 50 years. The patient speaks English and lives in a predominantly Asian neighborhood. Which action by the nurse is most appropriate?
a. Include a shaman when planning the patient's care. b. Avoid direct eye contact with the patient during care. c. Ask the patient about any special cultural beliefs or practices. d. Involve the patient's oldest son to assist with health care decisions.
A client with schizophrenia and substance abuse disorder is admitted to a detoxification program. The client has been prescribed neuroleptic medications for schizophrenia
When caring for this client, the nurse would implement interventions to reduce the client's risk for relapse, integrating knowledge that relapse frequently is secondary to which of the following? A) Poor social skills B) Lack of vocational skills C) Medication non-adherence D) Dysfunctional family systems