A nurse is reinforcing teaching about Rho(D) immunoglobulin to a client who is pregnant. Which of the following findings can an Rh incompatibility cause?
Transient clotting difficulties
Congenital hypothermia
Hypobilirubinemia
Hydrops fetalis
The Correct Answer is D
A. Rh incompatibility primarily affects erythrocytes, resulting in hemolysis rather than clotting abnormalities. Therefore, transient clotting difficulties are not typically associated with this condition.
B. Rh incompatibility doesn't directly cause hypothermia in newborns. The condition primarily leads to hemolytic disease of the newborn, which can result in jaundice, anemia, and other complications, but not hypothermia.
C. Rh incompatibility leads to an increase in bilirubin levels, causing hyperbilirubinemia rather than hypobilirubinemia. This increase in bilirubin levels can lead to jaundice and potentially severe neurological complications in the newborn.
D. This is a severe complication of Rh incompatibility where the fetus experiences severe edema due to hemolytic anemia and heart failure. It results from the destruction of fetal red blood cells by maternal antibodies against Rh-positive blood cells.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Tinnitus, or ringing in the ears, is a common adverse effect of aminoglycosides such as gentamycin which cause ototoxicity, rather than erythromycin which is a macrolide.
B. Constipation with abdominal cramping, is not a commonly reported side effect of erythromycin; this medication is more likely to cause diarrhea rather than constipation.
C. Common adverse effects of oral erythromycin include gastrointestinal symptoms such as abdominal cramping and nausea. Therefore, the statement indicating the client is experiencing a common adverse effect would be having a small amount of yellow emesis which aligns with the reported side effects of nausea and vomiting.
D. Swollen lips are not a common adverse effect of erythromycin. This symptom may indicate an allergic reaction or another issue unrelated to the medication.
Correct Answer is A
Explanation
A. Clozapine is an antipsychotic medication commonly used to treat schizophrenia.
Reduction in auditory hallucinations is a positive therapeutic outcome indicating the medication's efficacy in managing psychotic symptoms.
B. While clozapine may have antiepileptic properties, it's primarily used for its antipsychotic effects rather than controlling seizures.
C. Weight gain is a common side effect of clozapine rather than an indicator of therapeutic effect.
D. Clozapine is associated with the potential for agranulocytosis, a severe adverse effect characterized by a decreased white blood cell count, but this is not a measure of therapeutic effect.
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