Exam 4: Genetic and Genomic Concepts for Medical Surgical Nursing

A client is typed and crossmatched for a unit of blood.Which statement by the nurse indicates a need for further genetic education?

A health care provider prescribes genetic testing for a client who has a family history of colorectal cancer.Which action should the nurse take before scheduling the client for the procedure?

A nurse cares for a client who has a specific mutation in the a1AT (alpha₁-antitrypsin)gene.Which action should the nurse take?

A nurse obtains health histories when admitting clients to a medical-surgical unit.With which client should the nurse discuss predisposition genetic testing?

A nurse cares for a pregnant client who has a family history of sickle cell disease.The client is unsure if she wants to participate in genetic testing.What action should the nurse take?

A nurse cares for an adult client who has received genetic testing.The client's mother asks to receive the results of her daughter's genetic tests.Which action should the nurse take?

A nurse cares for a client who recently completed genetic testing that revealed that she has a BRCA1 gene mutation.Which actions should the nurse take next? (Select all that apply.)

A nurse cares for a client of Asian descent who is prescribed warfarin (Coumadin).What action should the nurse perform first?

A nurse is educating a client about genetic screening.The client asks why red-green color blindness,an X-linked recessive disorder noted in some of her family members,is expressed more frequently in males than females.How should the nurse respond?

A client who tests positive for a mutation in the BRCA1 gene allele asks a nurse to be present when she discloses this information to her adult daughter.How should the nurse respond?

A nurse consults a genetic counselor for a client whose mother has Huntington disease and is considering genetic testing.The client states,"I know I want this test.Why do I need to see a counselor?" How should the nurse respond?

A nurse completes pedigree charts for clients at a community health center.Which diagnosis should the nurse refer for carrier genetic testing? (Select all that apply.)

A nurse cares for a client who recently completed genetic testing and received a negative result.The client states,"I feel guilty because so many of my family members are carriers of this disease and I am not." How should the nurse respond?

A nurse teaches clients about patterns of inheritance for genetic disorders among adults.Which disorders have an autosomal dominant pattern of inheritance? (Select all that apply.)

A nurse cares for a client who has a genetic mutation that increases the risk for colon cancer.The client states that he does not want any family to know about this result.How should the nurse respond?