Mr. J.'s wife is pregnant for the third time. One child was born with cystic fibrosis and the other is healthy. He questions the chance that this child will have cystic fibrosis. This type of testing is known as:

1. occurrence risk
2. recurrence risk.
3. predictive testing.
4. predisposition testing.


2
1. Incorrect. If a couple has not yet had children but they are known to be at risk for having children with a genetic disease, they will be given an occurrence risk. This couple already has a child with a genetic disorder.
2. Correct. This couple already has a child with a genetic disease and will be given a re-currence risk.
3. Incorrect. Predictive testing is used to clarify the genetic status of an asymptomatic fami-ly member.
4. Incorrect. Predispositional testing differs from presymptomatic testing in that a positive result does not indicate 100% risk of developing a condition.

Nursing

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A nurse cares for a client who had a partial laryngectomy 10 days ago. The client states that all food tastes bland. How should the nurse respond?

a. "I will consult the speech therapist to ensure you are swallowing properly." b. "This is normal after surgery. What types of food do you like to eat?" c. "I will ask the dietitian to change the consistency of the food in your diet." d. "Replacement of protein, calories, and water is very important after surgery."

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A pregnant woman who abuses cocaine admits to exchanging sex for her drug habit. This behavior puts her at a greater risk for:

a. depression of the central nervous system. b. hypotension and vasodilation. c. sexually transmitted diseases. d. postmature birth.

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Which of the following is the best example of "feature creep"?

1. When an additional feature must be added to the system, the implementation committee approves the change after investigating its cost. 2. The system is totally customized for an individual organization to reflect the current workflow. 3. Staff nurses expect the new system will cut their workload relating to documentation in half. 4. The emergency department and intensive care unit supervisors meet and come up with a list of new features to be added to the system.

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An older female patient in the resident care facility insists that her hair be kept covered at all times. Of which branch of the Jewish faith is she most likely a member?

A) Reform B) Orthodox C) Rabbinical D) Conservative

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