Nokea
What would be the most appropriate nursing response to a woman who says, 'My sister had a child with Tay-Sachs disease, and I want to know if I could have a child with this condition'?
- A. The disease is rare. It is unlikely that you would have a child with Tay-Sachs disease.'
- B. A screening test can be done to determine if you are a carrier of the gene.'
- C. The gene for Tay-Sachs disease is transmitted by the father.'
- D. The cause of Tay-Sachs disease is thought to be an autoimmune response to a virus.'
Correct Answer: B
Rationale: Carriers of Tay-Sachs disease can be identified by screening tests, given its autosomal recessive inheritance.
You may also like to solve these questions
Which comment made by a school-age child indicates that he needs more teaching about diabetes mellitus and exercise?
- A. I carry a piece of hard candy with me in case I start to feel shaky.'
- B. I make sure I have emergency money when I have soccer practice or a game.'
- C. Sometimes I skip my breakfast when I have a game in the morning.'
- D. I play in soccer games that are scheduled after dinner.'
Correct Answer: C
Rationale: Skipping a meal before exercise increases the risk of hypoglycemia in a child with type 1 diabetes mellitus.
After a closed head injury, the unconscious 10-year-old child begins to excrete copious amounts of pale urine with an attendant drop in blood pressure (BP). Based on these symptoms, what does the nurse suspect has developed?
- A. Diabetes insipidus
- B. Diabetes mellitus
- C. Hypothyroidism
- D. Hyperthyroidism
Correct Answer: A
Rationale: Diabetes insipidus, often triggered by head injury, causes copious urine output and can lead to dehydration and low BP.
The nurse reminds the parents of a diabetic with an insulin pump that the tubing of the pump should be changed aseptically every hours.
Correct Answer: 48
Rationale: The tubing of the insulin pump should be changed every 48 hours to prevent infection.
What does the nurse instruct a 12-year-old to do when teaching how to administer insulin?
- A. Make sure injection sites are 6 inches apart.
- B. Select an injection site that was recently exercised.
- C. Inject the needle at a 90-degree angle.
- D. Give the injection deep into the muscle.
Correct Answer: C
Rationale: Children often find it easier to inject insulin at a 90-degree angle for proper administration.
What is the pattern of inheritance for most inborn errors of metabolism?
- A. Autosomal recessive
- B. Autosomal dominant
- C. X-linked recessive
- D. Multifactorial
Correct Answer: A
Rationale: The pattern of inheritance for most inborn errors of metabolism, such as Tay-Sachs disease, is generally autosomal recessive.