Which maternal–child client should the nurse see first?
1. Blood type B, Rh-positive
2. Blood type O, Rh-negative
3. Direct Coombs test positive
4. Indirect Coombs test negative
3
Explanation:
1. This client's blood type creates no problems.
2. This client is Rh-negative, but there is no indication that the alloimmunization has occurred.
3. A direct Coombs test looks for Rh antibodies in the fetal blood circulation. A positive result indicates that that there is an Rh incompatibility between mother and infant, and the baby is making anti-Rh antibodies, which in turn leads to hemolysis. This infant is at risk for anemia and hyperbilirubinemia.
4. An indirect Coombs test looks for Rh antibodies in the maternal serum; a negative result indicates the client has not been alloimmunized.
You might also like to view...
Which of the following statements best describes an unfortunate consequence of using diagnosis-related groups (DRGs) to determine reimbursement? (Select all that apply.)
a. Insurance companies had to greatly increase their funding from employers. b. The incentive was to undertreat and underuse health resources. c. Health care providers had to accept losses for each patient treated. d. Health care providers learned to cheat the system. e. Health care providers refused to accept more patients whose reimbursement was based on DRGs. f. High quality of care was no longer assured.
A home health nurse is reinforcing health education with a patient who is immunosuppressed and his family. What statement best suggests that the patient has understood the nurse's teaching?
A) "My family needs to understand when I can go get the seasonal flu shot." B) "I need to know how to treat my infections in a home setting." C) "I need to understand how to give my platelet transfusions." D) "My family needs to understand that I'll probably need lifelong treatment."
While walking in an assisted living facility an older patient falls. Which assessment finding indicates to the nurse that the patient has sustained a hip fracture?
1. Pain relieved by moving the affected extremity 2. Redness, tenderness, and severe swelling at the hip joint 3. Position with the injured leg shortened and externally rotated 4. Bending the injured leg at the knee and internally rotating the leg
A person has a cocktail every evening before bedtime. This means the person has a drinking problem
Indicate whether the statement is true or false.