A postpartum client who is Rh-negative refuses to receive Rho(D) immune globulin after the delivery of an infant who is Rh-positive. Which information should the practical nurse (PN) provide this client?

The R-positive factor from the fetus threatens her blood cells.

The mother should receive Rho(D) immune globulin when the baby is Rh-negative.

Rho(D) immune globulin is not necessary unless all pregnancies are Rh-positive.

Rho(D) immune globulin prevents maternal antibody formation for future Rh-positive babies.

Answer and Explanation

The Correct Answer is D

When a Rh-negative mother gives birth to a Rh-positive baby, there is a risk that the mother's immune system will develop antibodies against the Rh-positive factor. These antibodies can cross the placenta in future pregnancies and atack the Rh-positive fetus, leading to hemolytic disease of the newborn. Rho(D) immune globulin is given after delivery to prevent the formation of these antibodies. The PN should explain this to the client and encourage her to reconsider her refusal of the treatment. Answers A, B, and C are incorrect and do not provide accurate information.

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Correct Answer is A

Explanation

A male client with paranoia can be expected to exhibit behavior such as being **openly hostile to others for no apparent reason**. Paranoia is a mental health condition characterized by intense and irrational mistrust or suspicion of others. This can lead to hostility and aggression towards others, even when there is no apparent reason for it.

A. The child likes to wiggle the fingers on the hand of the aﬀected side. B. The child's radial pulse volume on the aﬀected arm is difficult to palpate. C. An accurate respiratory rate cannot be measured because of the child's crying. D. The parents of the child are requesting that the child receive an analgesic.

Correct Answer is B

Explanation

This could indicate reduced blood ﬂow to the aﬀected arm, which may be a sign of compartment syndrome. Compartment syndrome is a serious condition that requires immediate intervention by a registered nurse (RN). The other options may also require intervention, but they are not as urgent as the situation described in option B.

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A postpartum client who is Rh-negative refuses to receive Rho(D) immune globulin after the delivery of an infant who is Rh-positive. Which information should the practical nurse (PN) provide this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The practical nurse is evaluating a male client with paranoia. Which behavior can this client be expected to exhibit?

Correct Answer is A

Explanation

The practical nurse (PN) is monitoring a 5-year-old following a fracture of the ulna. For which situation should the PN seek immediate intervention by the registered nurse (RN)?

Correct Answer is B

Explanation

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