The nurse is providing genetic counseling to a young couple ...

[audie]

The nurse is providing genetic counseling to a young couple hoping to start a family. The husband has the Huntington's disease (HD) gene and does not want to pass the disease on to his children.
 
  Which of the following teaching points should the nurse include in a teaching plan for this couple? A) A child with a parent who has HD has a 50-50 chance of inheriting the gene.
  B) A child with a parent who does not inherit the HD gene may still develop the disease.
  C) Of the children who inherit the gene, 50 will develop the disease.
  D) Symptoms of HD generally appear before the age of 12.

Question 2

A drainage system is used in a client after a mastectomy for the expected bloody drainage. Which is used to drain a postmastectomy wound?
 
  A) EnzySurge
  B) Hemovac
  C) VariCare
  D) Fibracol

Question 3

A care-providing agency has appointed a nurse to provide home care to an elderly client. What should the nurse do to ensure that the agency is reimbursed the expenditure for providing care?
 
  A) Understand the client's rights when receiving care.
  B) Get along well with the client's family members.
  C) Fill out all necessary documents and submit them to the agency.
  D) Document all teachings and procedures for home care.

[nicoleclaire22]

Answer to Question 1

A
Feedback:
A child with a parent who has the HD gene has a 50-50 chance of inheriting the gene. Only children who inherit the gene will develop the disease. Only children who inherit the gene can pass on the gene to the next generation. All children who inherit the gene eventually will develop HD. The age of onset varies, although symptoms generally do not appear until the person is older than 30 years.

Answer to Question 2

B
Feedback:
Hemovac is used to drain the expected bloody drainage of a postmastectomy wound. EnzySurge and VariCare are wound irrigation systems. Fibracol is a commercially prepared special wound dressing, and is not used for wound drainage.

Answer to Question 3

C
Feedback:
When providing home care to a client, a nurse should fill out all the necessary documents and submit them to the care-providing agency. Based on the submitted documents, the agency will be reimbursed the amount for providing service to the client. All nurses, in general, should have knowledge of the rights of the client receiving care from the agency. A nurse providing care is expected to understand and respect the client's rights, but the nurse's knowledge will not ensure that the agency will be paid. A home care nurse should get along well with the client's family members, but this is not a criterion necessary to obtain reimbursement. Nurses providing home care should document all the teachings provided to the client and family members and procedures followed when caring for a client. This helps the agency in monitoring the efficiency and duties of the nurses. But these documents will not help in obtaining reimbursement for the services unless they are submitted to the third-party payor.