Which response by the nurse is the most appropriate when parents of a client recently diagnosed with Down syndrome express guilt about causing the condition?
"Down syndrome is a condition caused by an extra chromosome; the cause of it is unknown."
"Down syndrome is a condition that is carried on the X chromosome, so it came from the mother."
"Down syndrome is caused by birth trauma, not by genetics."
"Down syndrome is a condition that is genetically transmitted from both the father and the mother."
The Correct Answer is A
Choice A reason: This response is the most appropriate as it correctly identifies Down syndrome as a genetic condition caused by an extra chromosome and acknowledges that the exact cause of the chromosomal abnormality is unknown.
Choice B reason: This choice is incorrect because Down syndrome is not carried on the X chromosome nor is it inherited from the mother alone.
Choice C reason: This statement is false; Down syndrome is not caused by birth trauma but is a genetic disorder.
Choice D reason: This choice is misleading; while genetics play a role in Down syndrome, it is not typically inherited from both parents in the way this choice suggests.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Limiting water intake is not recommended as adequate hydration is important, especially when sick.
Choice B reason: Checking blood glucose every 8-12 hours is not frequent enough; it should be monitored more often during illness.
Choice C reason: Drinking juice every hour is not necessary and could lead to hyperglycemia if not balanced with insulin.
Choice D reason: This is the correct choice. It is crucial to continue administering insulin as prescribed to manage blood glucose levels, even if the child is not eating as much.
Correct Answer is ["B","D","E","F"]
Explanation
Choice A reason: Elevated high-density lipoproteins (HDL) are actually protective against heart disease.
Choice B reason: Increased triglyceride levels are a risk factor for vascular disease and should be addressed.
Choice C reason: Hypothyroidism is not a component of metabolic syndrome but should be managed if present.
Choice D reason: High blood pressure is a component of metabolic syndrome and increases the risk for vascular disease.
Choice E reason: Abdominal obesity is a key component of metabolic syndrome and is associated with increased risk for diabetes and vascular disease.
Choice F reason: Hyperglycemia is a sign of impaired glucose tolerance or diabetes and is a component of metabolic syndrome.
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