A pregnant couple at 14 weeks gestation has just been told that they both are carriers of an autosomal-recessive disorder.
The nurse who is providing genetic counseling should take which of the following actions?

Tell the couple that they need to have an abortion within 2 to 3 weeks.

Discuss options with the couple including amniocentesis to determine if their fetus is affected.

Refer the couple to a psychologist for emotional support.

Explain that there is a 50% chance their baby will have the disorder.

Answer and Explanation

The Correct Answer is B

Choice B rationale

When a couple is found to be carriers of an autosomal-recessive disorder, one of the actions the nurse can take is to discuss options with the couple, including amniocentesis to determine if their fetus is affected. This procedure can provide definitive information about the genetic status of the fetus, allowing the couple to make informed decisions about the pregnancy.

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Correct Answer is []

Explanation

Potential Condition:

B. Type 1 diabetes mellitus

The client’s symptoms of fatigue, blurred vision, dizziness, and headache, along with a high blood glucose level and HbA1C, suggest that they are experiencing hyperglycemia, a condition common in individuals with Type 1 diabetes mellitus.

Actions to Take:

B. Teach the client about the signs of hyperglycemia.
D. Assess the client’s feet for sensation.

Teaching the client about the signs of hyperglycemia will help them recognize when their blood sugar is high and take appropriate action. Assessing the client’s feet for sensation is also important as diabetes can lead to peripheral neuropathy, which can result in a loss of sensation in the feet.

Parameters to Monitor:

B. Blood pressure
D. Fingerstick blood glucose

Monitoring the client’s blood pressure is important as hypertension can be a complication of diabetes. Regularly checking the client’s fingerstick blood glucose levels will help ensure that their diabetes is being effectively managed.

A. “Taking the medication between meals will help you absorb the medication more efficiently.”. B. “The medication can cause nausea if taken with food.”. C. “Taking the medication with food increases the risk of esophagitis.”. D. “Taking the medication between meals will help you avoid becoming constipated.”.

Correct Answer is A

Explanation

Choice A rationale

Taking ferrous sulfate between meals can help increase absorption of the medication. Iron is best absorbed on an empty stomach. However, it may need to be taken with food to reduce stomach upset.

Choice B rationale

While it’s true that ferrous sulfate can cause nausea, this is not the primary reason for taking it between meals. The main goal is to enhance absorption.

Choice C rationale

There’s no evidence to suggest that taking ferrous sulfate with food increases the risk of esophagitis.

Choice D rationale

While constipation can be a side effect of ferrous sulfate, taking it between meals does not necessarily prevent this.

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A pregnant couple at 14 weeks gestation has just been told that they both are carriers of an autosomal-recessive disorder.The nurse who is providing genetic counseling should take which of the following actions?

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Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

A nurse is caring for a client who has a new prescription for ferrous sulfate tablets twice daily for iron-deficiency anemia.The client asks the nurse why the provider instructed that she take the ferrous sulfate between meals.Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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A pregnant couple at 14 weeks gestation has just been told that they both are carriers of an autosomal-recessive disorder.
The nurse who is providing genetic counseling should take which of the following actions?