A couple is evaluated in the genetics clinic, and the male is found to be a carrier of an X-linked dominant disorder. The couple asks the nurse what this means in regard to their future children
The nurse's response will include the information that: 1. All girls born to the family will be affected.
2. All boys born to the family will be affected.
3. About 25% of the girls born to the family will be affected.
4. About 25% of the boys born to the family will be affected.
1
Rationale:
1. Any child who receives the X chromosome from the father will have the defect.
2. None of the boys will receive the father's X, so none will be affected.
3. All girls will receive the father's X.
4. None of the boys will receive the father's X, so none will be affected.
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After teaching a client who has diverticulitis, a nurse assesses the client's understanding. Which statement made by the client indicates a need for additional teaching?
a. "I'll ride my bike or take a long walk at least three times a week." b. "I must try to include at least 25 grams of fiber in my diet every day." c. "I will take a laxative nightly at bedtime to avoid becoming constipated." d. "I should use my legs rather than my back muscles when I lift heavy objects."
The nurse is caring for a patient from a long-term care facility who has a Foley catheter. The urine in the bag is dark yellow and has a cloudy appearance and a strong odor
According to the transfer sheet, the Foley was placed 5 weeks before the hospital admission. What should the nurse do? a. Contact the health care provider for an order to change the catheter and provide an update on the appearance of the urine. b. Request an order for a urine for culture and sensitivity but do not change the catheter; the catheter can remain in place for another week per protocol. c. Contact the health care provider for an order to remove the catheter. d. Do nothing; the catheter can remain in place for another week per protocol.
Inappropriate or illegal questions that should be avoided during the interview include which of the following examples (select all that apply)?
a. What are your goals for the future? b. Do you plan on having any more children? c. How do you feel about taking call on weekends? d. How does your husband feel about you working? e. Will going to church interfere with Sun-day shifts?
Providing care for the neonate born to a mother who abuses substances can present a challenge for the health care team. Nursing care for this infant requires a multisystem approach. The first step in the provision of this care is:
a. Pharmacologic treatment. b. Reduction of environmental stimuli. c. Neonatal abstinence syndrome scoring. d. Adequate nutrition and maintenance of fluid and electrolyte balance.