A client has a strong family history of nonpolyposis colorectal cancer. What is the best advice the nurse can give to the client?
1. Have a genetic test to detect the presence of the genetic disorder, even though the client may never develop cancer.
2. Teach the client the symptoms indicating colon cancer and suggest a high-fiber diet to prevent cancer.
3. Have regular colonoscopies. If the colonoscopy is abnormal, then genetic testing is indicated.
4. Have a genetic test to detect the presence of colorectal cancer so that treatment can be initiated as early as possible.
Have a genetic test to detect the presence of the genetic disorder, even though the client may never develop cancer.
Rationale: The client should be advised to have a test to detect the presence of the genetic mutation that causes nonpolyposis colorectal cancer. If the test is positive, the client has an 80% chance of developing the cancer. Some (20%) do not develop the cancer, though frequent medical monitoring would be important. Teaching the client the symptoms indicating colon cancer and suggesting a high-fiber diet to prevent cancer is important but not enough with the technology available today. Therapy would only be started if the cancer is present.
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a. It provides data about level of consciousness only. b. It is considered equivalent to a complete neurologic examination. c. It is a sensitive tool for evaluation of an altered sensorium. d. It is the most critical assessment parameter to account for possible aphasia.
A nurse providing wellness seminars plans which of the following primary prevention activities related to sickle cell disease?
a. Have a "sick day management" tip sheet for those with SCD. b. Offer information on genetic counseling for SSD. c. Plan to have a list of community resources for the families of people with SCD. d. Provide a list of day care providers willing to care for children with SCD.
An ethics committee typically __________
a. plans and organizes ethics education b. includes only front-line care providers c. is always consulted in acute care hospitals when a dilemma arises d. is only available for consultation to patients and their families
Which nursing action provides the greatest assistance in healing?
A) maintaining a restful environment B) providing solid food in the first day C) allowing family members to visit often D) keeping the client recumbent