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During assessment, a patient mentions recent pharmacogenomic testing. Which nursing responses are appropriate? (Select all that apply)

  1. Have you changed your medications any?

  2. Have you talked with your physician about the results?

  3. Why did you do that?

  4. Was the test expensive?

The correct answer is: Have you changed your medications any?

Option A, "Have you changed your medications any?" is the correct answer because it demonstrates an understanding of the practical implications of pharmacogenomic testing. Patients may need to adjust their medications based on the results of such testing, as certain medications may be more or less effective or may cause more side effects based on their genetic profile. Options B, C, and D are not as appropriate as option A in this context. While it is beneficial for a patient to discuss their pharmacogenomic testing results with their physician (Option B), asking why the patient did the test (Option C) may come off as judgmental or invasive. Similarly, inquiring about the cost of the test (Option D) may not be the most supportive or relevant question to ask at that moment in the patient encounter.