Author Question: A new older female client at a long-term care facility has a diagnosis of type 1 neurofibromatosis. ... (Read 73 times)

dakota nelson · **on:** Jun 25, 2018

A new older female client at a long-term care facility has a diagnosis of type 1 neurofibromatosis. As part of the intake assessment protocol for the facility, the clinical educator is teaching the care staff about the diagnosis.

Which of the following statements most accurately conveys an aspect of neurofibromatosis?
A)
The neurofibroma lesions are unsightly for the client, but they are not painful.
B)
Her diagnosis puts her at higher risk of developing a malignant neoplasm.
C)
She is living with an example of an autosomal recessive disorder.
D)
The client is likely to be photosensitive as a result of the disease.

Question 2

Which of the following patients of a primary care physician would not require extra screening for cancer?

A)
A 51-year-old woman whose grandmother died of breast cancer
B)
A 48-year-old man who takes immunosuppressant drugs following a kidney transplant
C)
A 50-year-old male who is obese and has a low-fiber, high-fat diet
D)
A 38-year-old female with Down syndrome and congenital scoliosis

reelove4eva · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
B

Feedback:

NF-1 is associated with increased risk of malignant neoplasm. The lesions may be painful to the client, and the disease is an autosomal dominant disorder. Photosensitivity is not noted as a complication of type 1 neurofibromatosis.

Answer to Question 2

Ans:
D

Feedback:

While a family history of cancer, immunosuppression, and poor diet are all associated with cancer, congenital and chromosomal abnormalities are not noted to represent an increased risk for cancer.