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Questions 149

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Extract:


Question 1 of 5

The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

Correct Answer: B

Rationale: RhoGam prevents the formation of Rh antibodies in Rh-negative mothers exposed to Rh-positive fetal blood, reducing the risk of hemolytic disease in future pregnancies.

Question 2 of 5

The nurse has just received the change of shift report. The nurse should give priority to assessing the client with:

Correct Answer: A

Rationale: 110 mL of drainage post-thoracotomy in one hour suggests excessive bleeding, requiring immediate assessment.

Question 3 of 5

The client is scheduled for a Tensilon test to check for Myasthenia Gravis. Which medication should be kept available during the test?

Correct Answer: A

Rationale: Atropine reverses cholinergic effects during a Tensilon test.

Question 4 of 5

A 15-year-old client is rushed to the ER after taking an entire bottle of acetaminophen (Tylenol) in a suicide attempt. The nurse's priority is obtaining which lab results?

Correct Answer: A

Rationale: Acetaminophen overdose causes hepatotoxicity. AST and ALT levels assess liver damage, which is the priority.

Question 5 of 5

The nurse is caring for a client following a right nephrolithotomy. Postoperatively, the client should be positioned:

Correct Answer: C

Rationale: Positioning on the left side reduces pressure on the surgical site (right kidney), promoting comfort and minimizing complications.

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