A patient who is six weeks pregnant is Rh-negative. The spouse reports being Rh-negative also. What action should the nurse plan to take based upon this information?
A) If an antibody screen is negative, the nurse will administer RhoGAM to the patient
B) If an antibody screen is positive, the nurse will administer RhoGAM to the patient
C) The nurse will arrange for an amniocentesis to assess hemolytic disease in the fetus
D) The nurse will perform all normal procedures and follow-up tasks because the Rh status of the patient and the child are not a concern at this time
Ans: D
You might also like to view...
A patient comes to the clinic after finding a lump in her breast. The lump is found to be a small, well-defined nodule in the right breast. The patient asks the nurse about her treatment options
Which treatment would be considered best for this patient? A) Lumpectomy and radiation B) Partial mastectomy and radiation C) Partial mastectomy and chemotherapy D) Total mastectomy and chemotherapy
The FIRST part of a nurse's client assessment prior to administering blood is:
a. assess the client's nutritional status b. ascertain if the client has correct size IV catheter in place c. verify if the client has signed blood transfusion consent form d. ensure the patency of IV catheter
The day nurses in a psychiatric unit are receiving report from the night shift. While this is occurring, a client approaches the nurses' station, becomes very loud and offensive, and demands to be seen by the physician immediately
The appropriate nursing intervention is which of the following? 1. Inform the client that the behavior is unacceptable. 2. Tell the client to wait in his or her room until report is over. 3. Offer to assist the client to an examination room until the physician is notified. 4. Tell the client that the physician will be called as soon as report is completed.
The nurse receives a telephone laboratory report indicating that a diabetic client has a glycosylated hemoglobin A1c level of 7.6%. The nurse plans to provide diabetic teaching in which of the following priority areas?
1. Avoidance of infection 2. Rotation of insulin injection sites 3. Measures to prevent hyperglycemia 4. Avoidance of hypoglycemic episodes