The nurse is contributing to a group of patients care plans. Which patient should the nurse identify as being at risk for developing serum sickness?
a. A patient who receives intravenous (IV) penicillin for an infection
b. A patient who has a transfusion with packed red blood cells (RBCs)
c. A patient who is given cryoprecipitate and factor IX after an abdominal injury
d. A patient given steroids and immunosuppressant therapy after organ transplantation
ANS: A
Serum sickness is seen occasionally after administration of penicillin and sulfonamide. B. C. D. Serum sickness is not associated with blood transfusions, cryoprecipitate, factor IX, steroids, or immunosuppressant therapy.
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A nurse cares for a client who recently completed genetic testing and received a negative result. The client states, "I feel guilty because so many of my family members are carriers of this disease and I am not." How should the nurse respond?
a. "You are not genetically predisposed for this disease but you could still become ill. Let's discuss a plan for prevention." b. "Since many of your family members are carriers, you should undergo further testing to verify the results are accurate." c. "We usually encourage clients to participate in counseling after receiving test results. Can I arrange this for you?" d. "It is normal to feel this way. I think you should share this news with your family so that they can support you."
At 1 minute after birth the nurse assesses the infant and notes a heart rate at 80 beats/min, some flexion of extremities, a weak cry, grimacing, and a pink body but blue extremities. The nurse would calculate an Apgar score of _____
1. 4 2. 5 3. 6 4. 7
What are the two most important characteristics of the FHR?
A. Rate and decelerations B. Variability and accelerations C. Variability and decelerations D. Rate and variability
The research assistant asks the principle investigator, "Which one of our subjects responded with this strange statement?" The principle investigator responds, "I don't know; I can't connect the responses to the subjects." Which subject right has been protected?
1. Confidentiality 2. Privacy 3. Anonymity 4. Respect