After receiving her Rho(D) immune globulin injection, a client says, "Ouch, that shot hurts bad. I had to get it at the doctor's office, too. I'm glad I won't have to get that shot ever again"
The nurse's best response to the client would be, a. "Actually, getting this shot now will only destroy any antibodies you have made so far, but you will need it again if more antibodies are made."
b. "Actually, it will prevent you from forming antibodies now, but you may need it again in the future if you have other pregnancies."
c. "You're right, it will provide protection throughout your childbearing years."
d. "You're right, now that you have received this injection you will make antibodies against Rh-positive red blood cells."
B
The most appropriate response by the nurse would be, "Actually, it will prevent you from forming antibodies now, but you may need it again in the future if you have other pregnancies." This statement accurately answers the mother's question. The other three options are all false statements.
You might also like to view...
The best indicator of fluid status in the elderly is____
A. Patient thirst B. Patient weight C. BUN/creatinine ratio D. Serum creatinine
During a period of time when the computerized
medication order system was down, the prescriber wrote admission orders, and the nurse is transcribing them. The nurse is having diffi-culty transcribing one order because of the prescriber's handwriting. Which is the best action for the nurse to take at this time? a. Ask a colleague what the order says. b. Contact the prescriber to clarify the order. c. Wait until the prescriber makes rounds again to clarify the order. d. Ask the patient what medications he takes at home.
The glycemic index is a listing of foods and what their impact is on blood glucose response. How is a food's glycemic index determined?
A) A comparison is made between the blood glucose response caused by 25 g of pure glucose and 25 g of a food sample. B) Serial blood glucose levels are drawn after eating 25 g of a food sample and compared to a chart on blood glucose levels after eating 25 g of sucrose. C) Serial blood glucose levels are drawn after eating 50 g of pure sucrose and compared to blood glucose levels after eating 50 g of a food sample. D) A comparison is made between the blood glucose response caused by 50 g of pure glucose and 50 g of a food sample.
To determine whether there is a delay in impulse conduction through the atria, the nurse will measure the duration of the patient's
a. P wave. b. Q wave. c. P-R interval. d. QRS complex.