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Questions 149

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Question 1 of 5

The physician has ordered 2 units of whole blood for a client following surgery. To provide for client safety, the nurse should:

Correct Answer: B

Rationale: Using a new administration set for each unit prevents contamination and ensures accurate delivery, enhancing transfusion safety.

Question 2 of 5

The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:

Correct Answer: A

Rationale: RhoGam must be administered within 72 hours postpartum to prevent Rh sensitization.

Question 3 of 5

A 51-year-old client received a kidney transplant. Which of the following signs and symptoms indicates possible rejection of the kidney? Select all that apply.

Correct Answer: B,C,D

Rationale: Kidney rejection causes hypertension (
B), fluid retention (weight gain,
C), and graft pain (
D). Decreased urine output (not increased) and elevated creatinine (not decreased) are typical.

Question 4 of 5

The nurse is preparing to administer heparin to a client with a deep vein thrombosis. Which of the following laboratory values should the nurse check before administering the dose?

Correct Answer: B

Rationale: heparin’s therapeutic effect is monitored by aPTT, which should be 1.5–2 times the control value

Question 5 of 5

The nurse is caring for a client on airborne precautions. Which of the following would the nurse expect to see in the client's medical record?

Correct Answer: A

Rationale: Measles requires airborne precautions due to its highly contagious nature via respiratory droplets, unlike the other conditions listed.

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