Which statement from a client would indicate that they understood - ProProfs
     

Which statement from a client would indicate that they understood what the nurse taught them regarding the following case?
A female client with the beta-thalassemia trait plans to marry a man of Italian ancestry who also has the trait.

Which statement from a client would indicate that they understood what the nurse taught them regarding the following case?


<br/>A female client with the beta-thalassemia trait plans to marry a man of Italian ancestry who also has the trait.

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A. Thalassemia is treated with iron supplements.
B. I need to learn how to give myself vitamin B12 injections.
C. I'll see a genetic counselor before starting a family.
D. If my fiancé was of Middle Eastern descent, I wouldn't be worried about having children.

This question is part of

Immune and Hematologic Disorders

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2 Answers

C. Bernthal

Its kind of my job to give answers

C. Bernthal, Teacher, MA, P.hD, Seattle

Answered on Jan 23, 2019

An educated patient should know the risk of passing the disease on to their children. They should know that it is not treatable and hence they should see a genetic counselor before planning to extend the family. When two people with thalassemia minor have a child, there is a 25% chance that the child may have the major form of the disease which is inevitably fatal.

Iron supplements cannot be used to treat thalassemia as it is not its deficiency that is causing the disease. Instead it is the genetic makeup of the hemoglobin that is actually causing the problem.

John Smith

John Smith

Answered on Sep 09, 2016

This is what an educated patient should think/say:

I'll see a genetic counselor before starting a family.Two people with the beta-thalassemia trait have a 25% chance of having a child with thalassemia major, a potentially life-threatening disease. Iron supplements aren't used to treat thalassemia; in fact, they could contribute to iron overload. vitamin b12 injections are used to treat pernicious anemia, not thalassemia. thalassemia occurs primarily in people of italian, greek, african, asian, middle eastern, east indian, and caribbean descent.

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