The pregnant client and her partner are both 40 years old. The nurse is explaining the options of chorionic villus sampling (CVS) and amniocentesis for genetic testing. The nurse should intervene if the client states:
1. "Amniocentesis results are available sooner than CVS results are."
2. "CVS carries a higher risk of limb abnormalities."
3. "Amniocentesis cannot detect a neural tube defect."
4. "CVS is performed through my belly or my cervix."
1
Rationale:
1. Amniocentesis results take longer to process, and must be done at a later gestational age than CVS.
2. Limb and facial or jaw anomalies are associated with CVS, but not with amniocentesis.
3. Amniocentesis will allow genetic testing. Neural tube defects are not genetic in nature; therefore, they are not detected by either amniocentesis or CVS.
4. CVS can be performed through either a transabdominal or a transvaginal approach.
You might also like to view...
A client is preparing to undergo an intravenous cholangiography. What instructions should be given to the client before the procedure?
A. "The entire test will take less than 30 minutes." B. "You may feel the urge to defecate during the procedure." C. "You will feel a warm or flushing sensation when the contrast medium is in-jected." D. "The examination table will be tilted in several different positions to facilitate passage of the contrast medium."
A client comes to the clinic with a chief complaint of feeling "dirty inside" and asks the nurse how colonics would work to improve the client's overall well-being. What should the nurse respond to this client?
1. "Colonics is a dangerous and not useful technique that no one should try." 2. "There is much controversy about colonics. What do you know about it?" 3. "This is a good way to get rid of toxins in your system." 4. "You'd better ask your doctor about this."
The client who has been hospitalized for 3 weeks following a severe motor vehicle crash tells the nurse that spirituality and spiritual matters mean a great deal more now than before the incident
What nursing diagnosis would the nurse add to this client's care plan? What will be an ideal response?
Which of the following statements is not true about erythropoietin?
A. Erythropoietin, in general, should not be added to any other drug solution. B. Erythropoietin production is impaired in patients with chronic renal failure. C. Erythropoietin stimulates the production of red blood cells in the bone marrow. D. Erythropoietin is an enzyme produced in the liver that is necessary for carrying out the metabolic processes of the body's cells.