Author Question: A couple who recently married and want to have children ask the nurse what the chances are that ... (Read 167 times)

xclash · **on:** Jun 28, 2018

A couple who recently married and want to have children ask the nurse what the chances are that their children will inherit thalassemia from them, as they both are carriers. What information from the nurse is most accurate?

A.
All of your children will inherit it.
B.
Each child has a 25 chance of inheriting it.
C.
None of your children will inherit it.
D.
Only the boys will inherit it.

Question 2

A child has been hospitalized with a sickle cell crisis and given morphine sulfate (Duramorph) for severe pain. On assessment 45 minutes later, the child appears to be sleeping quietly with a respiratory rate of 6 breaths/minute.

What action by the nurse is most appropriate?
A.
Document findings and let the child sleep.
B.
Plan to hold the next dose of morphine.
C.
Prepare to administer naloxone (Narcan).
D.
Wake the child up to take deep breaths.

olderstudent · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Thalassemia is an autosomal recessive disorder. Each of their children has a 25 chance of having only normal genes, a 25 chance of inheriting both defective genes from the parents and expressing the disease, and a 50 chance of being a carrier.

Answer to Question 2

ANS: C
This child's respiratory rate is dangerously low, brought on by the narcotic analgesic. The nurse should prepare to administer Narcan per protocol. Letting the child sleep could lead to respiratory arrest, although the findings and subsequent actions should be documented. The provider should be notified afterward to adjust the next dose of pain medication. The child may or may not be able to cooperate with deep breathing instructions.