A pregnant patient has an Rh-negative blood type. Following the birth of the fetus, the nurse administers RhoGAM (D immune globulin). What is the purpose of this medication?
A) Promote maternal D antibody formation
B) Prevent maternal D antibody formation
C) Stimulate maternal D immune antigens
D) Prevent fetal RH blood formation
Ans: B
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The nurse caring for a patient who has had an open cholecystectomy with a T-Tube will:
a. open the T-tube to the air so that it will drain freely. b. position and secure the drainage bag at the chest level. c. Place the collection bag so the tube is not kinked. d. Irrigate the T-tube with normal saline to ensure the free flow of bile.
A patient is demonstrating signs of ineffective peripheral tissue perfusion. What intervention would be appropriate for this patient?
1. Encourage patient to reduce level of exercise. 2. Discuss smoking cessation techniques. 3. Keep extremities cool. 4. Assist with pillow placement under knees.
The client with cirrhosis has had a liver transplant and has returned to the unit following surgery. Which of the following is a postoperative priority outcome for this client?
1. Normal pupil reaction 2. Ability to move the legs 3. Moist membranes of the mouth 4. Normal body temperature
Which action by a patient indicates that the home health nurse's teaching about glargine and regular insulin has been successful?
a. The patient administers the glargine 30 minutes before each meal. b. The patient's family prefills the syringes with the mix of insulins weekly. c. The patient draws up the regular insulin and then the glargine in the same syringe. d. The patient disposes of the open vials of glargine and regular insulin after 4 weeks.