When antibodies are formed against red blood cell antigens of the Rh system, the blood cells are destroyed by:
a. Complement-mediated cell lysis
b. Phagocytosis by macrophages
c. Phagocytosis in the spleen
d. Neutrophil granules and toxic oxygen products
Ans: c. Phagocytosis in the spleen
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Which patient diagnosis is most likely related to acquiring a health care–associated infection?
a. Abdominal abscess after a ruptured ap-pendix b. Lice and nits that have come from the emergency department c. Urinary infection after the insertion of a Foley catheter d. Two-day, postoperative foot fungus after a hip replacement
The RN is caring for the following patients. Which patient and task are most appropriate to assign to the LPN/LVN?
a. A 34-year-old female who will need discharge teaching b. A 40-year-old male post-op who needs a dressing change c. A 64-year-old female who needs a bed bath d. A 79-year-old whose plan of care needs to be updated
A patient has experienced occasional urinary incontinence in the weeks since his prostatectomy. In order to promote continence, the nurse should encourage which of the following?
A) Pelvic floor exercises B) Intermittent urinary catheterization C) Reduced physical activity D) Active range of motion exercises
The nurse is preparing an educational program for the family of a client with dementia who is ready for discharge
Instructions for families to deal with the spatial disorientation of clients with dementia should include which of the following? 1. Keeping all familiar objects in the home even if some of the objects clutter the environment 2. Simplifying rooms but keeping familiar furniture in the same space; removing clutter 3. Having objects of attention the same color as the room; for example a white toilet in a white bathroom will decrease stimulation and anxiety 4. Being aware that clients in the early stages usually have few problems with unfamiliar places