A 60-year-old man and his 39-year-old wife would like to have children. Which information should the nurse provide concerning the risk for genetic disorders?
1. The sperm of older men is more likely to contain defects of cell division.
2. The sperm of older men has been exposed to more damaging chemicals than that of younger men.
3. At age 39, the woman runs a much higher risk of nondisjunction anomalies than younger women do.
4. Aging in the woman is not considered a risk factor for having children with chromosomal abnormalities.
3
Rationale 1: The age of the man has not been shown to be a factor in nondisjunction.
Rationale 2: Sperm is produced across the man's sexual life, so there is no accumulation of chemicals.
Rationale 3: The possibility of genetic disorders increases as the woman ages. At age 39 the woman would be considered an "older mother."
Rationale 4: Advanced maternal age is the primary risk factor for Down syndrome.
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The nurse assesses a patient's pulse and finds it hard to obliterate with palpation. What action by the nurse is best?
a. Assess the patient for fluid volume overload. b. Assess the patient for fluid volume deficit. c. Assess the patient's apical heart rate. d. Assess the patient's pulse deficit.
In charting on a 70-year old man with a wound that appears as a shallow crater, the nurse would stage this as a:
a. stage I b. stage II c. stage III d. stage IV
Hypothyroidism in older clients
A) develops with sudden manifestations of confusion and ataxia. B) is treated with daily subcutaneous injections of levothyroxine (Synthroid). C) correlates with decreased blood levels of thyroid stimulating hormone (TSH) and low levels of T3. D) may cause manifestations of congestive heart failure, including cardiac enlargement.
The primary goal of family-centered nursing is to:
1. Promote the wellness of the family and its members 2. Implement appropriate care for the family and its members 3. Provide support and care for the family and its individual members 4. Identify physical and emotional problems affecting the family as a unit