A pregnant couple at 14 weeks gestation has just been told that they both are carriers of an autosomal-recessive disorder.
The nurse who is providing genetic counseling should take which of the following actions?

Tell the couple that they need to have an abortion within 2 to 3 weeks.

Discuss options with the couple including amniocentesis to determine if their fetus is affected.

Refer the couple to a psychologist for emotional support.

Explain that there is a 50% chance their baby will have the disorder.

Answer and Explanation

The Correct Answer is B

Choice B rationale

When a couple is found to be carriers of an autosomal-recessive disorder, one of the actions the nurse can take is to discuss options with the couple, including amniocentesis to determine if their fetus is affected. This procedure can provide definitive information about the genetic status of the fetus, allowing the couple to make informed decisions about the pregnancy.

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Correct Answer is A

Explanation

Choice A rationale

Glipizide is a sulfonylurea medication used in Type 2 Diabetes to sensitize pancreatic beta cells and stimulate insulin release. It helps control blood sugar levels by prompting your pancreas to produce insulin. This medication is effective only in people whose bodies produce insulin naturally.

Choice B rationale

Glipizide does not replace insulin that is not being produced by your pancreas. Instead, it stimulates the pancreas to release insulin.

Choice C rationale

Glipizide does not absorb excess carbohydrates in your system. Its primary action is to stimulate the release of insulin from the pancreas.

Choice D rationale

Glipizide does not prevent your liver from destroying your insulin. Its main function is to stimulate the pancreas to release insulin, which helps control blood sugar levels.

A. Sweat test B. Haptoglobin C. Schilling test D. Antinuclear antibodies .

Correct Answer is C

Explanation

Choice A rationale

A sweat test is used to diagnose cystic fibrosis, a genetic disorder that affects the lungs and digestive system. It is not used to diagnose pernicious anemia.

Choice B rationale

Haptoglobin is a protein produced by the liver that binds to hemoglobin in the blood to prevent it from being excreted through the kidneys. While it can be used to diagnose conditions that cause the destruction of red blood cells, it is not used to diagnose pernicious anemia.

Choice C rationale

The Schilling test is used to determine whether the body absorbs vitamin B12 normally, which is crucial for the diagnosis of pernicious anemia. Pernicious anemia is a condition where the body is unable to absorb vitamin B12 due to a lack of intrinsic factor, a protein made in the stomach.

Choice D rationale

Antinuclear antibodies (ANAs) are a type of autoantibody that can attack the body’s own tissues. While they can be present in various autoimmune diseases, they are not used to diagnose pernicious anemia.

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A pregnant couple at 14 weeks gestation has just been told that they both are carriers of an autosomal-recessive disorder.The nurse who is providing genetic counseling should take which of the following actions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide.Which of the following statements best describes the action of glipizide?

Correct Answer is A

Explanation

A nurse is providing care for a patient who the healthcare provider suspects may have pernicious anemia.Which diagnostic test should the nurse anticipate the healthcare provider will order?

Correct Answer is C

Explanation

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A pregnant couple at 14 weeks gestation has just been told that they both are carriers of an autosomal-recessive disorder.
The nurse who is providing genetic counseling should take which of the following actions?