During the health history portion of the assessment, the client states, "I have sickle-cell trait." The nurse realizes that:
1. precautions should be taken to prevent the cell from sickling.
2. the client is a carrier.
3. the client will show signs of the disease as she grows older.
4. the client will transmit the disease to any offspring.
2
Sickle-cell anemia is an autosomal recessive disorder passed from parent to offspring in this pattern. An individual with one HbS has the sickle-cell trait and has a 50% chance of transmitting the gene to each child. There are no precautions to take to prevent the cell from sickling. The client will not demonstrate signs of the disease as she grows older. It will depend upon the other parent having the trait if any offspring will be affected with the disorder.
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