A nurse cares for a client who has a specific mutation in the a1AT (alpha1-antitrypsin) gene. Which action should the nurse take?
a. Teach the client to perform monthly breast self-examinations and schedule an annual mammogram.
b. Support the client when she shares test results and encourages family members to be screened for cancer.
c. Advise the client to limit exposure to secondhand smoke and other respiratory irritants.
d. Obtain a complete health history to identify other genetic problems associated with this gene mutation.
ANS: C
The a1AT gene mutation increases risk for developing early-onset emphysema. Clients should be advised to limit exposure to smoke and other respiratory irritants as a means of decreasing environmental influences that may aggravate an early onset of emphysema. This gene mutation does not promote cancer, nor does it occur with other identified genetic problems. The BRCA1 gene mutation gives the client a higher risk for developing breast cancer.
You might also like to view...
A woman has been told she has cervical polyps. Which statement by the client indicates a good understanding of the teaching the nurse provided?
a. "I hope my polyp doesn't turn cancerous like colon polyps can." b. "These can be removed easily in the doc-tor's office with little pain." c. "I will need to have more frequent screening for cervical cancer." d. "I will need to finish all my medication before having sex again."
A 74-year-old professional golfer has chest
pain that occurs toward the end of his golfing games. He says the pain usually goes away after one or two sublingual nitroglycerin tablets and rest. What type of angina is he experiencing? a. Classic b. Variant c. Unstable d. Prinzmetal's
Based on this description, what is the most likely cause of his shoulder pain?
A 68-year-old retired banker comes to your clinic for evaluation of left shoulder pain. He swims for 30 minutes daily, early in the morning. He notes a sharp, catching pain and a sensation of something grating when he tries overhead movements of his arm. On physical examination, you note tenderness just below the tip of the acromion in the area of the tendon insertions. The drop arm test is negative, and there is no limitation with shoulder shrug. The patient is not holding his arm close to his side, and there is no tenderness to palpation in the bicipital groove when the arm is at the patient's side, flexed to 90 degrees, and then supinated against resistance. A) Rotator cuff tendinitis B) Rotator cuff tear C) Calcific tendinitis D) Bicipital tendinitis
Hormone replacement therapy (HRT) is used to treat symptoms of menopause. What are these clients at an increased risk for developing as a result of the HRT? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Endometrial cancer 2. Stroke 3. Venous thromboembolism 4. Breast cancer 5. Coronary artery disease