A nurse is meeting a new client for a genetic counseling visit and wants to identify the main role of the nurse during this process.
Which of the following statements should the nurse make?
My role is to answer any Questions you may have and support your decisions.
My role is to discuss the testing risks and benefits with you.
My role is to perform any necessary testing and analyze your results.
My role is to assist the provider during their consult with you.
The Correct Answer is A
Choice A rationale
The primary role of the nurse in genetic counseling is to provide support and answer any Questions the client may have, helping them to understand the information and make informed decisions.
Choice B rationale
While discussing testing risks and benefits is important, it is usually the role of the genetic counselor or physician to explain these aspects comprehensively. The nurse supports this process but does not typically lead it.
Choice C rationale
Performing tests and analyzing results are tasks that are typically carried out by specialized laboratory personnel or geneticists, not the nurse. The nurse's role is supportive rather than diagnostic.
Choice D rationale
The nurse may assist during a provider's consult, but this is not the primary role. The main role focuses on supporting the client through the counseling process and ensuring they understand and can make informed decisions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
An increase in serum bilirubin levels indicates worsening hyperbilirubinemia rather than improvement. Effective phototherapy should result in a decrease in bilirubin levels as it helps break down bilirubin into a form that can be excreted.
Choice B rationale
Hemoglobin and hematocrit levels are not directly affected by phototherapy. These values are more related to red blood cell count and do not indicate the effectiveness of phototherapy for treating hyperbilirubinemia.
Choice C rationale
A decrease in transcutaneous bilirubin (TcB) levels from 6 hours ago indicates effective phototherapy. Phototherapy reduces bilirubin levels in the blood by converting it to a water-soluble form that can be eliminated from the body.
Choice D rationale
Jaundice typically moves from the head to the lower body as bilirubin levels decrease. Movement from chest to groin level without a corresponding decrease in bilirubin levels does not necessarily indicate effective phototherapy. .
Correct Answer is B
Explanation
Choice A rationale
Placing a newborn on the parent's stomach and covering with a warm blanket helps to regulate body temperature through skin-to-skin contact, which is essential for newborns, especially shortly after birth.
Choice B rationale
Rectal temperature checks are not recommended for newborns due to the risk of rectal perforation. Newborn temperatures are typically monitored using axillary (underarm) methods.
Choice C rationale
Keeping a newborn’s head covered helps to prevent heat loss, as a significant amount of body heat can be lost through the head. This practice is crucial in maintaining the newborn's body temperature.
Choice D rationale
Newborns should be kept away from drafts, including fans and air conditioning vents, to prevent them from becoming too cold. Keeping the bassinet away from these can help maintain a stable temperature.
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