A nurse is following up with a client at 12 weeks gestation who was seen for genetic counseling but decided not to proceed with genetic testing or any further genetic counseling.
Which of the following actions should the nurse take?
Respect the client's right to decline genetic testing.
Call the client and attempt to schedule another appointment.
Offer the client an appointment with a different genetic counselor.
Plan to perform genetic testing at the client's next prenatal visit.
The Correct Answer is A
Choice A rationale
Respecting the client's decision to decline genetic testing upholds their autonomy and right to make informed decisions about their own healthcare.
Choice B rationale
Persistently attempting to schedule another appointment could be seen as pressuring the client, which may not be respectful of their initial decision.
Choice C rationale
Offering an appointment with a different genetic counselor may imply that the client's decision was not respected or understood, which can be perceived as dismissive.
Choice D rationale
Planning to perform genetic testing without the client's consent disregards their autonomy and the importance of informed consent in healthcare decisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
An occult cord prolapse occurs when the umbilical cord is hidden but not necessarily within the vagina. It is often compressed alongside the fetus, causing a risk for decreased oxygenation.
Choice B rationale
An occult prolapsed cord is not characterized by being wrapped around the fetal neck; that condition is known as a nuchal cord.
Choice C rationale
A compound prolapsed cord does not involve the cord being felt through the cervix inside an intact amniotic sac. Instead, it involves the cord alongside the fetal presenting part.
Choice D rationale
An overt prolapsed cord occurs when the umbilical cord comes through the cervix ahead of the presenting part, posing significant risk due to potential cord compression and interruption of blood flow to the fetus.
Correct Answer is A
Explanation
Choice A rationale
0.2 mg is the appropriate transcription as it avoids trailing zeros and clearly indicates the dosage, reducing the risk of overdose.
Choice B rationale
0.20 mg is incorrect because the trailing zero could be misinterpreted as 20 mg, leading to a dangerous overdose.
Choice C rationale
2 mg is incorrect as it represents a tenfold overdose of the intended dosage, potentially resulting in serious harm.
Choice D rationale
0.02 mg is incorrect as it represents a tenfold underdose of the intended dosage, potentially resulting in insufficient therapeutic effect. .
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