Author Question: During a health history the nurse learns that a newly married female patient has a family history of ... (Read 163 times)

littleanan · **on:** Jun 25, 2018

During a health history the nurse learns that a newly married female patient has a family history of both type 1 and type 2 diabetes mellitus. Which type of referral should the nurse consider for this patient?

1. a genetic counselor
2. a home health nurse
3. an obstetrician
4. a physical therapist

Question 2

A patient scheduled for a renal ultrasound asks if the procedure is going to be painful. What should the nurse do to help the patient prepare for this diagnostic test?

1. Describe the typical experience of a patient having a renal ultrasound.
2. Discuss feelings associated with painful experiences.
3. Explain pain medications available during this procedure.
4. Describe the typical experience of a patient using conscious sedation.

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

Answer to Question 1

Correct Answer: 1
During the physical assessment the nurse should assess for manifestations that might indicate a genetic disorder. If data indicate the presence of genetic risk factors or alterations, ask about genetic testing and refer for appropriate genetic counseling and evaluation. Chronic kidney disease may be a complication of type 1 and type 2 diabetes mellitus (DM) but is seen more often in patients with type 1 DM. Type 1 and type 2 DM are classified as multifactorial inheritance disorders because both genetic and environmental factors are necessary for onset of the disorder. The patient does not need a home health nurse, an obstetrician, or a physical therapist.

Answer to Question 2

Correct Answer: 1
A renal ultrasound is a noninvasive test conducted to detect renal or perirenal masses, identify obstructions, and diagnose renal cysts and solid masses. It is done by applying a conductive gel to the skin and placing a small external ultrasound probe on the patient's skin. Sound waves are recorded on a computer as they are reflected off tissues. There is no discomfort associated with the test and pain medications or conscious sedation is not needed.