A primigravida with a blood type A negative is at 28 weeks' gestation. Today her physician has ordered a RhoGAM injection. Which statement by the client demonstrates that more teaching is needed related to this therapy?

• A."I'm getting this shot so that my baby won't develop antibodies against my blood, right?"
• B."I understand that if my baby is Rh positive I'll be getting another one of these injections."
• C."This shot should help to protect me in future pregnancies if this baby is Rh positive, like my husband."
• D."This shot will prevent me from becoming sensitized to Rh-positive blood."

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A 30-year-old female client is receiving antineoplastic chemotherapy. Which of the following symptoms should especially concern the nurse when caring for her?

• A.Respiratory rate of 16 breaths/min
• B.Pulse rate of 80 bpm
• C.Complaints of muscle aches
• D.A sore throat

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The nurse would be sure to instruct a client on the signs and symptoms of an eye infection and hemorrhage.
These signs and symptoms would include:

• A.Blurred vision and dizziness
• B.Eye pain and itching
• C.Feeling of eye pressure and headache
• D.Eye discharge and hemoptysis

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A male client is scheduled to have angiography of his left leg. The nurse needs to include which of the following when preparing the client for this procedure?

• A.Validate that he is not allergic to iodine or shellfish.
• B.Instruct him to start active range of motion of his left leg immediately following the procedure.
• C.Inform him that he will not be able to eat or drink anything for 4 hours after the procedure.
• D.Inform him that vital signs will be taken every hour for 4 hours after the procedure.

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The pediatric nurse charts that the parents of a 4-yearold child are very anxious. Which observation would indicate to the nurse unhealthy coping by these parents:

• A.Discussing their needs with the nursing staff
• B.Discussing their needs with other family members
• C.Seeking support from their minister
• D.Refusing to participate in the child's care

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