When a parent reports multiple male miscarriages, the nurse should confer with the health care provider about a possible genetics referral for which type of conditions?
1. Anticipation autosomal dominant conditions
2. X-linked recessive conditions
3. X-linked dominant conditions
4. Autosomal recessive conditions
2
Rationale 1: There is a variation of classic Mendelian inheritance called anticipation autosomal dominant in which the mother is only mildly affected but the child has a congenital form.
Rationale 2: Multiple male miscarriages can be a sign of X-linked recessive conditions that can be severe and can result in high mortality rates.
Rationale 3: X-linked recessive conditions are passed on only by the mother, and each individual has a 50% chance to receive the gene, making females carriers and males expressers of disease.
Rationale 4: Autosomal recessive conditions are very rare, since an individual must carry the altered gene on both of the paired chromosomes for disease to be caused; even when both parents are carriers, the chance for the disease to be expressed is only 25%.
Global Rationale:
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A) Vital signs every 15 minutes B) Strict adherence to hand hygiene protocol C) Continuous capnography D) Frequent monitoring of blood glucose
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A nurse should plan further evaluation of an HIV-positive client when the client exhibits which early manifestation of toxoplasmosis infection?
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