Author Question: A patient has a genetic history of disorders. The nurse decides to include in the plan of care ... (Read 61 times)

darbym82 · **on:** Jun 25, 2018

A patient has a genetic history of disorders. The nurse decides to include in the plan of care measures to protect the patient's cardiovascular health. What findings supported the nurse's clinical decision making?

Select all that apply.

1. The patient's sister developed high cholesterol at age 32.
2. The patient's father had a myocardial infarction at age 50.
3. The patient's brother broke a leg while skiing in the winter.
4. The patient's uncle has cirrhosis of the liver and pancreatitis.
5. The patient's mother was diagnosed with high blood pressure at age 45.

Question 2

The nurse is participating in a health fair in a major metropolitan city park. For which community members should screening for thalassemia be suggested?

Select all that apply.

1. 21-year-old male from Hong Kong
2. 55-year-old female who recently visited India
3. 32-year-old male who emigrated from Nigeria
4. 45-year-old female whose mother is from Italy
5. 68-year-old female returning from a trip to Croatia

EAN94 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 2, 5
When conducting a health assessment interview and physical assessment, it is important for the nurse to consider genetic influences on the health of the adult. The nurse should ask about family members with health problems affecting the cardiovascular system, such as high BP, high cholesterol levels, or early-onset CAD. Having family members with broken bones from an accident or alcoholic cirrhosis and pancreatitis is not a genetic influence on the patient's cardiovascular health.

Answer to Question 2

Correct Answer: 1, 3, 4
Thalassemia, an inherited disease of faulty hemoglobin synthesis, is more often found in descendants of people living near the Mediterranean Sea, Africa, the Middle East, and Asia. Thalassemia is not a communicable disease. Visiting India or Croatia does not increase the person's risk of developing this disorder.