A client has been exposed to environmental teratogens at his workplace. This exposure has resulted in the development of sperm with 21 chromosomes

The nurse would predict which outcome for the zygote that would be produced if this sperm fertilizes a normal egg? 1. The zygote will develop normally.
2. The zygote will develop into a fetus with a minor genetic disorder, depending on which chromosomes are affected.
3. The zygote will develop into a fetus with profound genetic disorders.
4. The zygote will likely die.


4
Rationale 1: It is very unlikely that a zygote with 44 chromosomes will develop normally.
Rationale 2: In the unlikely circumstance that this zygote developed into a fetus, the genetic disorder would not be minor.
Rationale 3: It is unlikely that this zygote will develop into a fetus.
Rationale 4: The most likely outcome of the fertilization is that the zygote will die.

Nursing

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The nurse is caring for a couple who is having a fluorescent in situ hybridization test. Which of the following interventions is specific to this test?

A) Educating the couple that the test results are not conclusive B) Explaining to the couple that genetic counseling is needed after the test C) Educating the couple about potential complications from the test D) Advising the couple that further testing is needed

Nursing

The patient scheduled for a Syme amputation in the morning is concerned about the ability to stand on the amputated extremity. The patient asks the nurse about his ability to stand after surgery. What is the nurse's best response to this question?

A) "You will be able to withstand full weight-bearing on this durable extremity after the amputation." B) "You will have minimal weight-bearing on this extremity and will require the use of an assistive device." C) "You will not be able to use this extremity and will receive teaching on use of a wheelchair." D) "You will be fitted for a prosthesis and your commitment to rehabilitation will determine your functional abilities."

Nursing

A nurse observes the parent–child interaction during a 6-year-old's well child checkup and notes that the parent speaks harshly to the child and uses negative remarks when speaking with the nurse

Which statement by the nurse would be most beneficial? 1. "Perhaps you should leave the room so that I can speak with your child privately.". 2. "I am going to refer you for counseling, since your interactions with your child seem so negative.". 3. "Let's talk privately. Let's discuss the way you speak with your child and possible ways to be more positive.". 4. Addressing the child, the nurse says, "Are you unhappy when Mommy talks to you like this?"

Nursing

The nurse understands that the nonbenzodiazepam medications are limited to use in clients:

a. on short-term therapy. b. who can no longer be treated with benzodiazepams. c. who are 18 years old or older. d. with chronic insomnia.

Nursing