medium · NCLEX-RN Health Promotion and Maintenance

A 23-year-old female arrives alone at the genetics clinic for her scheduled blood draw for Huntington disease (HD) predictive testing. She has completed all pre-test counseling sessions but did not bring a support person as instructed.

Which action should the nurse take first?

  1. Refuse to perform the blood draw and permanently terminate her testing eligibility due to noncompliance.
  2. Explore her reasons for arriving alone and discuss rescheduling the draw until a reliable support person can accompany her.
  3. Assign a clinic volunteer or nurse's aide to act as her official support person during the results disclosure, for this client.
  4. Proceed with the blood draw since the client completed the required counseling sessions and signed the consent form.

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