Author Question: The nurse in the clinic is assessing an adult client who has 2+ ankle edema, crackles throughout the ... (Read 112 times)

abarnes · **on:** Jun 25, 2018

The nurse in the clinic is assessing an adult client who has 2+ ankle edema, crackles throughout the lung fields, and dyspnea on exertion.

Which will the nurse inquire about prior to initiating the client's teaching plan?
A) The client's family history.
B) The client's diet.
C) The number of children the client has.
D) The client's marital status.

Question 2

The nurse is providing care to a pregnant client who will undergo chorionic villi sampling. The client is currently 8 weeks pregnant.

When teaching the client about this genetic testing, which layer of the embryonic membrane is tested during this procedure?
A) Chorion
B) Amnion
C) Ectoderm
D) Endometrium

sarajane1989 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

The nurse realizes the client may be experiencing heart failure and asks the client questions aimed at obtaining the client's lifestyle habits that can contribute to the heart failure, such as smoking and dietary habits. Gathering psychosocial information such as marriage and children is important, but in this case the nurse focuses on the client's current problem and teaching needs. Family history is also an important part of data gathering, but does not address the client's current lifestyle.

Answer to Question 2

Answer: A

The chorion is the outermost embryonic membrane and develops into chorionic villi, which can be used for early genetic testing of the embryo at 8 to 11 weeks' gestation by chorionic villi sampling. The endometrium is the lining of the uterus and will not be used for genetic testing of the embryo. The ectoderm is a germ layer and will develop into specific structures within the developing fetus. The amnion will develop into amniotic fluid, which can also be sampled for genetic testing but may not be developed by 8 weeks' gestation.