A female middle adult client tells a nurse that she tested positive for a mutant BRCA1 gene.
The nurse should recognize that the client is at an increased risk for which of the following situations?
Developing thyroid cancer.
Delivering a child who has Down syndrome.
Developing breast cancer.
Developing Alzheimer's disease.
The Correct Answer is C
Choice A rationale
A mutant BRCA1 gene is not associated with an increased risk of thyroid cancer. Thyroid cancer risk factors include radiation exposure and family history, but not the BRCA1 mutation.
Choice B rationale
The BRCA1 gene mutation does not increase the risk of Down syndrome in offspring. Down syndrome is related to chromosomal abnormalities, not the BRCA1 gene mutation.
Choice C rationale
The BRCA1 gene mutation significantly increases the risk of breast cancer, often at an early age. It is a key factor in hereditary breast cancer syndromes.
Choice D rationale
The BRCA1 gene mutation is not linked to an increased risk of Alzheimer's disease. Alzheimer's is associated with genetic factors like the APOE gene, not BRCA1.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Liver cancer is not associated with elevated prostate specific antigen (PSA) levels. PSA is a protein produced primarily by prostate cells, and its elevation is typically linked to prostate-related conditions rather than liver disorders.
Choice B rationale
Breast cancer is not associated with elevated PSA levels. PSA is specific to prostate cells, which are not present in breast tissue. Therefore, PSA is not a marker used in diagnosing or monitoring breast cancer.
Choice C rationale
Colon cancer is not linked to elevated PSA levels. PSA is not a biomarker for colon cancer, as it is specific to the prostate gland. Other markers, such as carcinoembryonic antigen (CEA), are more relevant for colon cancer.
Choice D rationale
Prostatic cancer is associated with elevated PSA levels. PSA is produced by prostate cells, and elevated levels can indicate prostate cancer, benign prostatic hyperplasia (BPH), or inflammation of the prostate.
Correct Answer is D
Explanation
Choice A rationale
Inserting an indwelling catheter is not recommended for immunosuppressed clients due to the increased risk of infection. Minimizing invasive procedures is critical in these patients.
Choice B rationale
Providing fresh fruit is not advisable for immunosuppressed clients, as raw fruits and vegetables can harbor bacteria and increase the risk of infection. Cooked foods are safer options.
Choice C rationale
Taking the client's temperature once per shift is insufficient for monitoring infection in immunosuppressed clients. More frequent temperature monitoring is necessary to detect early signs of infection.
Choice D rationale
Limiting the number of health care workers entering the room is essential for reducing the risk of infections in immunosuppressed clients, as it minimizes exposure to potential pathogens.
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