A client has diabetes mellitus. Her daughter has recently been diagnosed with Graves' disease. The client asks the nurse if she is responsible for the fact that her daughter has Graves' disease. Which is the best response of the nurse?
a. "No connection is known between Graves' disease and diabetes, so you can be certain that the fact that you have di-abetes did not cause your daughter to have Graves' disease."
b. "An association has been noted between Graves' disease and diabetes, but the fact that you have diabetes did not cause your daughter to have Graves' disease."
c. "Graves' disease is associated with au-toimmune diseases such as rheumatoid arthritis, but not with a disease such as diabetes."
d. "Unfortunately, Graves' disease is asso-ciated with diabetes, and your diabetes could have led to your daughter having Graves' disease."
B
An association between autoimmune diseases such as rheumatoid arthritis and diabetes mellitus has been noted. The predisposition is probably polygenic and the client's diabetes did not cause her daughter's Graves' disease. The other statements are inaccurate.
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