What should you tell the client who has been found to have a genetic mutation that increases the risk for colon cancer who says he does not want any of his family to know about this result?
A. "It is required by law that you inform your siblings and your children about this result so that they also can be tested and monitored for colon cancer."
B. "It is not necessary to tell your siblings, because they are adults, but you should tell your children so that they can be tested before they decide to have children of their own."
C. "It is not required that you tell anyone about this result; however, because your siblings and children may also be at risk for colon cancer, you should think about how this information might help them."
D. "It is your decision to determine with whom, if anyone, you discuss this test result; however, if you do not tell any of your family members and they get colon cancer, you would be responsible for their developing the disease."
C
This situation represents an ethical dilemma. The client does have the right to disclose or not disclose the information discovered by genetic testing. However, in this instance, disclosure could allow other people to check their health status and take preventive actions against the development of cancer. The client cannot be forced to disclose the results but should be encouraged to consider disclosure. The response described in C keeps the issue open for discussion later. There is no national or final legal point of view on the resolution of this controversy.
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The burned client newly arrived from an accident scene is prescribed to receive 4 mg of morphine sulfate by IV push. What is the most important reason to administer the opioid analgesic to this client by the intravenous route?
A. The medication will be effective more quickly than if given intramuscularly. B. It is less likely to interfere with the client's breathing and oxygenation. C. The danger of an overdose during fluid remobilization is reduced. D. The client delayed gastric emptying.
The nurse is preparing to conduct a general survey. Which should the nurse recognize is the purpose of performing the general survey prior to the physical assessment?
A. Provides the information necessary for the diagnosis. B. Yields information to guide the physical assessment. C. Allows for vital signs prior to starting exam. D. Provides an opportunity for the client to relax before the exam.
An advanced practice nurse is preparing to assess the external genitalia of a 25-year-old American woman of Chinese descent. Which action will the nurse do first?
a. Place the patient in the lithotomy position. b. Drape the patient to enhance patient comfort. c. Assess the patient's feelings about the examination. d. Ask the patient if she would like her mother to be present in the room.
After learning of having a benign tumor in the abdomen, the patient is overheard telling a family member about having cancer. What should the nurse say to the patient?
A. "This type of cancer will not spread to other tissues." B. "This type of cancer is easily treated." C. "There is a growth in the abdomen but it is encapsulated and after being removed, will not recur." D. "Even though this growth has invaded other tissues, it can be contained."