A client recently diagnosed with rheumatoid arthritis asks if she has passed on this disease to her children. Which nursing responses are most appropriate?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "There is really no way for us to know until your children are adults."
2. "RA is an autoimmune disease with no genetic link."
3. "Genetic testing can be done to see if your children carry any genetic alterations associated with RA."
4. "I can get you information on your disease that will better explain your options."
5. "Autoimmune diseases are so complex, and genetics is only one factor in their development."
3,4
Rationale 1: Genetic testing is done at all ages.
Rationale 2: RA does have a genetic link.
Rationale 3: Autoimmune diseases can be caused by specific genetic alterations that can be discovered through genetic testing.
Rationale 4: The nurse should be aware of and able to access information for the client.
Rationale 5: This is a true statement, but it does not address the client's concern.
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