In which of these situations can Rh incompatibility develop?
a. Both the mother and fetus are Rh negative.
b. The mother is Rh negative, and the fetus is Rh positive.
c. The mother is Rh positive, and the fetus is Rh negative.
d. Both the mother and fetus are Rh positive.
B
Rh incompatibility occurs when an Rh-negative client becomes pregnant and has an Rh-positive fetus; Rh antibodies are produced and will destroy fetal red blood cells if there is a mixing of fetal and maternal blood. RhoGAM is given to an Rh-negative mother who is not sensitized within 72 hours of the birth. RhoGAM may also be given at 28 weeks.
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A patient with spasticity of the upper extremity after a stroke asks why a sling is not used to support the arm. Which of the following should the nurse respond to this patient with?
1. the use of a sling will reinforce the spasticity and may promote a contracture 2. a sling will alter your center of balance when standing 3. you will not be able to participate in therapy with the arm in a sling 4. the presence of a sling will make dressing difficult
The guiding principle for all nurses and healthcare workers is to ______.
a. do the best you can for patient b. check with somebody if unsure c. do no harm d. do what the patient asks
A client on long-term corticosteroid therapy is demonstrating signs of acute adrenocortical insufficiency. The nurse knows that these symptoms are caused by:
Standard Text: Select all that apply. 1. the shutting down of ACTH secretion. 2. the failure of the adrenal cortex to secrete corticosteroids. 3. rebound ACTH secretion. 4. excessive secretion of ACTH. 5. toxic levels of mineralocorticoids.
The nurse is reinforcing teaching provided to a patient about appropriate diet modifications to help prevent exacerbations of inflammatory bowel disease. Which patient statements indicate that teaching has been effective? (Select all that apply.)
a. "I should avoid caffeine and spicy fiber foods." b. "I should avoid concentrated sweets and starches." c. "It is important to eat more whole grains and bran." d. "High-fiber foods should not be included in my diet." e. "I should increase my intake of fresh fruits and vegetables." f. "Milk and other dairy products should be limited in my diet."