During a health history the nurse learns that a newly married female patient has a family history of both type 1 and type 2 diabetes mellitus. Which type of referral should the nurse consider for this patient?
1. a genetic counselor
2. a home health nurse
3. an obstetrician
4. a physical therapist
Correct Answer: 1
During the physical assessment the nurse should assess for manifestations that might indicate a genetic disorder. If data indicate the presence of genetic risk factors or alterations, ask about genetic testing and refer for appropriate genetic counseling and evaluation. Chronic kidney disease may be a complication of type 1 and type 2 diabetes mellitus (DM) but is seen more often in patients with type 1 DM. Type 1 and type 2 DM are classified as multifactorial inheritance disorders because both genetic and environmental factors are necessary for onset of the disorder. The patient does not need a home health nurse, an obstetrician, or a physical therapist.
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