A child is diagnosed with sickle cell disease. The parents are unsure how their child contracted the disease. Which explanation by the nurse is the most appropriate?
"The father has the trait, but the mother doesn’t."
"The mother has the trait, but the father doesn’t."
"Both the mother and the father have the sickle cell trait."
"The mother has sickle cell disease, but the father doesn't have the disease or the trait."
The Correct Answer is C
Choice A reason: This option is incorrect because sickle cell disease is an inherited condition, and one parent having the trait is not sufficient for a child to have the disease.
Choice B reason: This option is also incorrect for the same reason as choice A; both parents must carry the trait for the child to have a chance of inheriting the disease.
Choice C reason: This is the correct choice. Sickle cell disease is inherited when both parents carry the sickle cell trait, giving their child a 25% chance of having the disease.
Choice D reason: This option is incorrect because if only one parent has sickle cell disease and the other has neither the disease nor the trait, the child cannot have sickle cell disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: An elevated white blood count (WBC) is not typically a side effect of chemotherapy; in fact, chemotherapy often leads to a decreased WBC count.
Choice B reason: This is the correct choice. Bone marrow suppression is a common side effect of chemotherapy, leading to a decreased production of blood cells and necessitating precautions to prevent infection.
Choice C reason: T-cell mediated hypersensitivity is not a common side effect of chemotherapy that would dictate the type of precautions needed.
Choice D reason: Stomatitis is a possible side effect of chemotherapy, but it does not primarily determine the type of precautions required as bone marrow suppression does.
Correct Answer is A
Explanation
Choice A reason: Allowing parents to hold their infant is a compassionate act that acknowledges their need for closure and can help them begin the grieving process.
Choice B reason: Interviewing parents to determine the cause of the incident is not considered supportive care; it may be part of an investigation but does not provide comfort.
Choice C reason: Providing mementos can be a cherished way for parents to remember their infant and can offer some solace during a difficult time.
Choice D reason: Advising parents about the necessity of an autopsy is not supportive care; it is a medical decision that should be discussed with sensitivity to the parents' feelings and needs. Autopsies can be important for understanding SIDS and preventing future occurrences.
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