At the completion of a genetic assessment, the nurse learns that ...

[acc299]

At the completion of a genetic assessment, the nurse learns that a patient has three family members diagnosed with rectal cancer before the age of 40 years. What should the nurse discuss with the patient?
 
  1. importance of having screening for colorectal cancer at an earlier age
  2. importance of ingesting a diet high in protein and carbohydrates
  3. ways to maximize time spent in exercise
  4. reasons why having children would not be recommended for this patient

Question 2

Survivors of a bioterrorist attack are receiving basic care and support in a local motel until further plans for placement can be made. Several of these victims have been receiving care for autoimmune disorders.
 
  What should the nurse consider when providing these victims with food over the next several hours?
 
  Select all that apply.
 
  1. Offer fresh salads.
  2. Ensure that fruit is fresh.
  3. Provide bottled water.
  4. Provide cooked or processed meals.
  5. Fill pitchers with tap water.

[verrinzo]

Answer to Question 1

Correct Answer: 1

The information from the genetic assessment identified three family members diagnosed with rectal cancer before the age of 40 years. The nurse should discuss with the patient the importance of having screening for colorectal cancer at an earlier age. Ingesting a diet high in protein and carbohydrates is not going to reduce the patient's risk for developing the disease. Maximizing exercise is not going to reduce the patient's risk for developing the disease. Counseling the patient on abstaining from having children is not going to improve the patient's risk for the disease.

Answer to Question 2

Correct Answer: 3, 4

Patients who are immunocompromised pose special problems for the healthcare community, especially if access to health care is unavailable due to a disaster situation. Bottled water should be ready so the patient can avoid drinking water of questionable purity. Bone marrow and stem cell transplant patients are instructed not to eat fresh fruits and vegetables due to the risk of contamination and subsequent infection. It is safest for this population of patients to consume processed or canned foods if they can be heated to the proper temperatures.

[acc299]

Thank you

[verrinzo]

No problemo