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

Answer and Explanation

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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Correct Answer is B

Explanation

A. Abruptly stopping alprazolam can lead to withdrawal symptoms, and abdominal discomfort alone may not necessarily indicate a need for immediate cessation of the medication.
B. Alprazolam is a benzodiazepine with sedative properties, so drowsiness and light- headedness are common side effects. Patients should be cautious when engaging in activities requiring alertness, such as driving, while taking alprazolam.
C. Alcohol should be avoided while taking alprazolam due to the potential for increased sedation and central nervous system depression. However, it does not directly affect the effectiveness of the medication.
D. Alprazolam, like other benzodiazepines, has a high potential for physical dependence, and abrupt discontinuation can lead to withdrawal symptoms. Patients should be informed about the risk of dependence and the need for gradual tapering if discontinuation becomes necessary.

A. Elevated blood pressure B. Increased triglyceride level C. Decreased blood glucose level D. Weight loss

Correct Answer is B

Explanation

A. While risperidone can cause orthostatic hypotension, which may result in decreased blood pressure, it is not typically associated with elevated blood pressure.
B. Risperidone has been associated with metabolic side effects such as weight gain, dyslipidemia, and increased triglyceride levels, which can contribute to cardiovascular risk.
C. Risperidone is not typically associated with hypoglycemia; instead, it may lead to hyperglycemia or exacerbate existing diabetes.
D. Weight gain is a more common adverse effect of risperidone rather than weight loss.

Monitoring for weight gain is essential due to its association with metabolic syndrome and cardiovascular risk factors.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching for a client who has generalized anxiety disorder and has been prescribed alprazolam. Which of the following instructions should the nurse give the client?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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