A nurse is counseling a client who is considering having genetic testing completed to determine whether she is a carrier of the gene linked to Huntington's disease

Which of the following would be the first step the nurse would take when assessing this client?
a. Assess vital signs
b. Assess family history of this disorder
c. Assess client's past medical history
d. Assess current medications


ANS: B
Taking a family history is a useful place to begin when considering a genetic connection prior to the onset of testing. The best way to identify whether there is a mutation in a family where a he-reditary disease is suspected is to test the person who displays the most evidence of being a mu-tation carrier. This would take precedent over assessing vital signs, current medications, and past medical history.

Nursing

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A client is admitted to a medical unit with the primary diagnosis of acute pyelonephritis. Which assessment findings does the nurse anticipate? Select all that apply.

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1) A phone that is readily accessible to make emergency calls. 2) A firearm that is secured in a lock box with ammunition stored separately. 3) Toxic cleaning solutions that are properly labeled and stored out of reach of small children. 4) Several windows without properly working locks.

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The nurse is participating in care planning for a patient with urge incontinence. What should the nurse recommend be included in this patient's plan of care? (Select all that apply.)

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