The nurse is creating a three-generation pedigree for a 30-year-old female client. The client states, "I've been told that several of my ancestors had gout. Does that mean I'll get it too?" How should the nurse respond?
1. "Research studies have noted an association between some genes and a higher risk of gout."
2. "Your risk won't increase until you are over 65."
3. "Only if you don't control other risk factors."
4. "It depends on environmental risk factors."
1
Rationale 1: Researchers have identified significant associations between DNA polymorphisms, genes, and an increased risk of developing gout.
Rationale 2: The risk for gout increases in women after menopause, which occurs prior to age 65.
Rationale 3: Control of risk factors may help avoid genetically transmitted diseases, but there is no guarantee that will happen with this client.
Rationale 4: Environmental risk factors do play a part in gout development, but they are not the single determining factor.
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