A nurse on a postpartum unit is assisting with the care of four clients. The nurse should identify that which of the following clients should receive Rh (D. immune globulin?

An Rh-negative client who has an Rh-negative newborn

An Rh-negative client who has an Rh-positive newborn

An Rh-positive client who has an Rh-positive newborn

An Rh-positive client who has an Rh-negative newborn

Answer and Explanation

The Correct Answer is B

A.   If both the mother and the newborn are Rh-negative, there is no need for Rh (D. immune globulin.
B.   An Rh-negative mother carrying an Rh-positive baby is at risk for Rh incompatibility. She should receive Rh (D. immune globulin to prevent sensitization.
C.   If both the mother and the newborn are Rh-positive, there is no need for Rh (D. immune globulin.
D.   If the mother is Rh-positive and the newborn is Rh-negative, there is no need for Rh (D. immune globulin.

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Correct Answer is A

Explanation

A. Hyporeflexia is a significant adverse effect of magnesium sulfate therapy and can indicate magnesium toxicity. It is essential for the nurse to monitor deep tendon reflexes as part of the assessment when a client is receiving this medication. A decrease in reflexes may warrant immediate intervention and reporting to the provider.
B. Tachypnea is not a common adverse effect of magnesium sulfate; however, if it occurs, it may indicate respiratory distress, which should be assessed further.
C. Polyuria is not a typical adverse effect of magnesium sulfate. In fact, magnesium can lead to decreased urine output in some cases, especially with toxicity.
D. Agitation is also not a typical adverse effect of magnesium sulfate. Clients receiving magnesium sulfate may exhibit sedation rather than agitation.

A. Intrauterine device B. Oral contraceptives C. Contraceptive sponge D. Diaphragm

Correct Answer is A

Explanation

A. Among the options listed, the intrauterine device (IUD) has the lowest failure rate. IUDs are highly effective at preventing pregnancy with a failure rate of less than 1%.
B. Oral contraceptives have a higher failure rate compared to IUDs.
C. The contraceptive sponge has a higher failure rate compared to IUDs.
D. The diaphragm has a higher failure rate compared to IUDs.

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A nurse on a postpartum unit is assisting with the care of four clients. The nurse should identify that which of the following clients should receive Rh (D. immune globulin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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