A patient is concerned about transmitting genetic illnesses to any future children. What can the nurse do initially to help the patient determine which diseases might be transmitted?
1. Work with the patient to complete a pedigree.
2. Conduct a health promotion assessment.
3. Schedule a complete genetic analysis.
4. Refer the patient to a geneticist for diagnosis.
1
Rationale 1: A pedigree is a pictorial representation or diagram of the medical history of a family that typically includes three generations. The finished pedigree presents a family's medical data and biologic relationships at a glance.
Rationale 2: A health promotion assessment will not provide information regarding the patient's risk for passing on genetic illnesses to future children.
Rationale 3: There are steps the nurse should take before this analysis is scheduled.
Rationale 4: There are steps the nurse should complete before referring the patient to a geneticist.
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