A nurse is preparing to assist with the administration of medications to a client who is 72 hours postpartum following a cesarean birth in the maternity ward.
Complete the following sentence by using the lists of options. Which of the following medications requires clarification prior to administration?
The nurse should clarify the prescription for
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
The nurse should clarify the prescription for Rh (D) immune globulin because of the client’s blood type.
Explanation:
- Rh (D) immune globulin is administered to Rh-negative mothers to prevent Rh sensitization, which can occur if the mother is Rh-negative and the baby is Rh-positive. This medication is crucial in preventing hemolytic disease of the newborn in future pregnancies.
- In this case, the client’s blood type is O+ (Rh-positive). Therefore, administering Rh (D) immune globulin is unnecessary and inappropriate for this client, as it is only indicated for Rh-negative individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Placing the client in the knee-chest position is not appropriate for managing hypotension caused by an epidural infusion. This position does not effectively improve blood pressure.
Choice B rationale
Administering methylergonovine IM is not appropriate for managing hypotension caused by an epidural infusion. Methylergonovine is used to manage postpartum hemorrhage, not hypotension.
Choice C rationale
Giving a bolus of lactated Ringer’s is the appropriate action to manage hypotension caused by an epidural infusion. This helps to increase blood volume and improve blood pressure.
Choice D rationale
Assisting the client to empty her bladder is important, but it is not the immediate priority in managing hypotension caused by an epidural infusion.
Correct Answer is B
Explanation
Choice A rationale
There is no need to fast before a nonstress test. The test measures the fetal heart rate in response to fetal movements and does not require any dietary restrictions.
Choice B rationale
During a nonstress test, the client will press a button whenever they feel the baby move. This helps correlate fetal movements with heart rate changes.
Choice C rationale
The client is not required to lie flat on their back for the duration of the test. They can be in a semi-reclined position to ensure comfort and avoid supine hypotensive syndrome.
Choice D rationale
Medication to stimulate contractions is not used during a nonstress test. This is done during a contraction stress test, which is a different procedure.
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