MED SURG 2 EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE

MED SURG 2 EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE A patient with a parent that has polycystic kidney disease does not want to have genetic testing done for polycystic kidney disease because they are worried that health insurance will be discontinued if genetic abnormalities are found. Based on the nurse’s knowledge of the Genetic Information Nondiscrimination Act (GINA), what should the nurse teach this patient? GINA should protect her from this happening. GINA health coverage nondiscrimination protection also extends to life insurance. GINA will only protect her after she is diagnosed with polycystic kidney disease. GINA does not extend to cover preexisting conditions. GINA prohibits discrimination in health care coverage and employment based on genetic information but does not extend to life insurance, disability insurance, or long-term care insurance. Question 2 1 / 1 pts A patient had abdominal surgery last week and returns to the clinic for follow-up. The nurse assesses thick, white, malodorous drainage. How should the nurse document this drainage? Purule nt Serous Fibrino us Catarrh al Purulent drainage consists of white blood cells, microorganisms, and other debris that signal an infection. Serous drainage is a thin, watery, clear or yellowish drainage frequently seen with broken blisters. Fibrinous drainage occurs with fibrinogen leakage and is thick and sticky. Catarrhal drainage occurs when there are cells that produce mucus associated with the inflammatory response Question 3 1 / 1 pts A young mother is worried that her female baby will have hemophilia because the baby’s father has it. How should the nurse explain this genetic disorder to the young mother? Nearly all affected people are male. The daughter has a 50% chance of being affected. If the mother is a carrier, the patient could have hemophilia. Daughters of affected males will be carriers. Because hemophilia is an X-linked recessive genetic disorder, hemophilia results from a mutated gene on an X chromosome. Whereas mothers always contribute an X chromosome to their offspring, fathers contribute X to their female children and Y to their male children. If the mother is a carrier, there is a 25% chance that the daughter could have hemophilia and a 25% chance that she will be a carrier. If the mother is not a carrier, the daughter in this case will have a 50% chance of being a carrier from her father’s affected X chromosome. Question 4 1 / 1 pts For which individual is genetic carrier screening indicated? A patient with a family history of sickle cell disease A patient who has a long-standing history of iron- deficiency anemia A patient with a history of type 1 diabetes A patient whose mother and sister died of breast cancer Genetic carrier screening should be done in families with a history of sickle cell disease. Iron deficiency is not related to genetic status. Although there is a multifactorial genetic basis for diabetes (based on research), there are no genetic markers for testing for the presence of or risk of diabetes. A significant family history of breast cancer may suggest that presymptomatic testing for BRCA 1 and 2 may be indicated. IncorrectQuestion 5 0/ 1 pts Which intervention should the nurse include in the plan of care for a patient who is paraplegic with a stage III pressure ulcer? Irrigate the pressure ulcer with hydrogen peroxide. Keep the pressure ulcer clean and dry. Use a 10-mL syringe to irrigate the pressure ulcer. Maintain protein intake of at least 1.25 g/kg/day. Adequate protein intake (between 1.25 and 1.50 g/kg/day) is needed to promote healing of pressure ulcers. Hydrogen peroxide is cytotoxic and should not be used to clean pressure ulcers. A 30-mL syringe with a 19-gauge needle will provide optimal pressure (4 to 15 psi) without causing tissue trauma or damage. The pressure ulcer should be kept moist to aid in healing. Question 6 1/ 1 pts The parents of a child diagnosed with cystic fibrosis ask the nurse what happened to cause this disease. What is the best response by the nurse? It is X-linked, so it was passed to the child from the mother. It is autosomal recessive, so both copies of the gene are abnormal. It is autosomal dominant, so the abnormal gene allele is expressed instead of the normal allele. It is a chromosome disorder that usually skips a generation.