The plan of care for a woman newly diagnosed with a BRCA1 mutation should include which strategy?
A) Preoperative planning for immediate prophylactic double mastectomies
B) A recommendation for enhanced screening for breast and ovarian cancer
C) Reassurance that male offspring with BRCA1 do not develop breast cancer
D) Reassurance that the BRCA1 gene protects against ovarian cancer
B) A recommendation for enhanced screening for breast and ovarian cancer
Explanation: A) Up to 5% of all cases of breast cancer are due to autosomal dominant inheritance of a mutation in either the BRCA1 or BRCA2 gene. Having a BRCA1 or BRCA2 mutation confers a very high lifetime risk of both breast cancer and ovarian cancer. Even males with a BRCA1 or BRCA2 gene mutation have an increased risk of breast cancer. Early identification of a gene mutation may allow for enhanced screening and some prophylactic options for early detection and/or decreasing the risk of cancer. The choice of prophylactic mastectomy is very personal and should be made by the woman in conjunction with her family and healthcare team.
B) Up to 5% of all cases of breast cancer are due to autosomal dominant inheritance of a mutation in either the BRCA1 or BRCA2 gene. Having a BRCA1 or BRCA2 mutation confers a very high lifetime risk of both breast cancer and ovarian cancer. Even males with a BRCA1 or BRCA2 gene mutation have an increased risk of breast cancer. Early identification of a gene mutation may allow for enhanced screening and some prophylactic options for early detection and/or decreasing the risk of cancer.
C) Up to 5% of all cases of breast cancer are due to autosomal dominant inheritance of a mutation in either the BRCA1 or BRCA2 gene. Having a BRCA1 or BRCA2 mutation confers a very high lifetime risk of both breast cancer and ovarian cancer. Even males with a BRCA1 or BRCA2 gene mutation have an increased risk of breast cancer. Early identification of a gene mutation may allow for enhanced screening and some prophylactic options for early detection and/or decreasing the risk of cancer.
D) Up to 5% of all cases of breast cancer are due to autosomal dominant inheritance of a mutation in either the BRCA1 or BRCA2 gene. Having a BRCA1 or BRCA2 mutation confers a very high lifetime risk of both breast cancer and ovarian cancer. Even males with a BRCA1 or BRCA2 gene mutation have an increased risk of breast cancer. Early identification of a gene mutation may allow for enhanced screening and some prophylactic options for early detection and/or decreasing the risk of cancer.
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A) National Council of Nursing's guidelines for care B) National League for Nursing's Code of Conduct C) American Nurses Association's Social Policy Statement D) Department of Health and Human Service's White Paper on Nursing
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A pregnant patient is concerned that orgasm will be harmful to the developing fetus. What should the nurse include when responding to this patient's concern?
A) Orgasm during pregnancy is potentially harmful. B) Venous congestion in the pelvis makes orgasm painful. C) Most women do not experience orgasm during pregnancy. D) Some women experience orgasm intensely during pregnancy.