Nokea
A woman is Rh negative and the father of her baby is Rh negative. The woman states that her friend told her that she would need a “shot” to keep her baby alive. Which of the following statements would be the best response by the nurse?
- A. “Yes, you will need an injection of RhoGAM at 28 weeks gestation and within 72 hours after birth.”
- B. “Because the father of the baby is also Rh negative, your baby will not inherit Rh positive blood cells and you will not need the injection.”
- C. “Yes, you will need the injection because this is your first pregnancy. You will not need it with subsequent pregnancies.”
- D. “No, you will not need the injection because you are White. Rh incompatibility affects only Black women.”
Correct Answer: B
Rationale: Since both the mother and father are Rh negative, there is no risk for Rh incompatibility, so RhoGAM is not necessary.
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A 19-year-old student is distressed over unprotected sex and potential pregnancy. What should the nurse say?
- A. Let’s talk about your options; you must be 21 to purchase emergency contraception.
- B. Don’t worry; you can buy Plan B without a prescription; it will terminate the pregnancy.
- C. Don’t worry, we are in one of the 40 states that allow Plan B; let’s discuss how to use it.
- D. You have several options; let’s discuss what is best for you.
Correct Answer: D
Rationale: The nurse should provide a range of options and let the teen decide the next steps, including discussing emergency contraception.
A mother is concerned because her daughter has been taking a nap every day after school. Which statement would be the best response by the nurse?
- A. Don’t worry; all teenagers do that.
- B. Tell me about your daughter’s schedule.
- C. Let’s bring her in for some blood work.
- D. Have you addressed the topic of drugs with your daughter?
Correct Answer: B
Rationale: Further information about the daughter’s schedule is needed to determine if the behavior is normal or a concern.
A liver for which two people are tissue-typed has become available after the death of a donor in a car accident. Client A is a 45-year-old substance abuser whose liver is damaged as a result of his use of alcohol. Client B is a 16-year-old adolescent in need of a liver transplant because of a birth abnormality. Which of the following would be useful for a nurse in giving input as to which of the two should receive the liver?
- A. Advocate for Client B because he is the younger of the two and will live longer.
- B. Use feminist moral theory to advocate for Client A in spite of his alcohol use.
- C. Use a guided set of moral principles in decision-making before advocating for either.
- D. Advocate for Client A because he has 15 to 20 years of productive life left.
Correct Answer: C
Rationale: Using moral principles systematically can help resolve ethical dilemmas and guide decision-making.
Which of the following statements concerning enjoying healthy activities is true?
- A. People enjoy pleasant activities even when they are stressed.
- B. People cherish happy activities and feel that such activities are important even during times of stress.
- C. People generally feel that they deserve to be happy.
- D. People who have hobbies are better able to handle stress than those without hobbies.
Correct Answer: B
Rationale: Hobbies and other pleasurable activities help people balance a stressful life.
A community planning committee is working on the development of a community nursing center. Which of the following essential components should be included in this center?
- A. Physician as medical director
- B. Interdisciplinary staff
- C. Nurse as chief manager
- D. Partnership with an academic institution
Correct Answer: C
Rationale: Nurses should be the chief managers of community nursing centers, accountable for care and professional practice.