The client has a family history of breast cancer. The physician has recommended that she undergo genetic testing. What action is most important for the nurse to take before scheduling the client for the procedure?
a. Making certain the client is prepared for the risk of psychological side effects
b. Obtaining informed consent from the client and placing it on the chart
c. Simultaneously scheduling genetic coun-seling with an advanced practice nurse
d. Carefully explaining the procedure to the client and assuring her confidentiality
B
Informed consent is required before genetic testing is undertaken. The person tested is the one who gives consent, even though genetic testing always gives information about a family and family members, not just the client. Although the procedure must be explained to the client and she must be prepared for the psychological effect of undergoing testing, the procedure cannot occur without an informed consent.
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A patient with a complex medical history states that his primary care provider has changed his proton pump inhibitor from omeprazole (Prilosec) to esomeprazole (Nexium)
The patient is unsure of the rationale for this change in medication and has raised this question with the nurse. What rationale is most plausible? A) Nexium has fewer adverse effects. B) Nexium can be used long term. C) Nexium has fewer drug interactions. D) Nexium can be taken on an outpatient basis.
The nurse is caring for a patient who is at risk for fluid overload as a result of a history of congestive heart failure. Which intervention will the nurse teach the patient to perform at home to monitor fluid balance?
a. "Check to make sure that your urine is a bright yellow color." b. "Weigh yourself every morning before breakfast." c. "Count your heart rate every evening before you go to bed." d. "Drink plain water rather than soda, coffee, or fruit juice."
The nurse is preparing an educational session on sepsis. Which should the nurse include as a major risk factor for the development of this health problem?
A) Pneumococcal bacteria B) Leukocytosis on the complete blood count C) Undiagnosed urinary tract infection D) Elevated temperature
Which statement is true regarding changes in the musculoskeletal system of elderly persons?
a. Kyphosis is primarily a result of poor posture. b. Osteoporosis is more common in men than women. c. Ligaments and tendons become softer with age. d. Flexion is often painful.