The nurse receives the following report on a client who delivered 36 hours ago: para 1, rubella immune, A-negative, antibody screen negative, newborn B-positive, Coombs negative, discharge orders are written for both mother and newborn. What should be the priority action by the nurse?
1. Administer rubella vaccine.
2. Ask if she is breast- or bottlefeeding.
3. Determine if RhoGAM has been given.
4. Discuss the discharge education with the client.
3
Explanation:
1. The client is rubella immune and does not need the rubella vaccine.
2. This is important but is not the top priority.
3. The client is A-negative and the newborn B-positive. The client needs RhoGAM prior to discharge. Without RhoGAM, the client will make antibodies against Rh-positive blood, and future pregnancies would be in jeopardy.
4. Discharge education is always important, but in this case it is not the most important action.
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A) Therapeutic use of corticosteroids B) Pheochromocytoma C) Inadequate secretion of ACTH D) Adrenal tumor
Identify a statement made by a client that has a nocebo effect
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The nurse is showing respect for a client's right to autonomy regarding an invasive procedure by:
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The term used to describe excessive thirst is ________.
Fill in the blank(s) with the appropriate word(s).