Rh incompatibility can occur if the patient is Rh-negative and the- Skildor

Question 1 of 5

Rh incompatibility can occur if the patient is Rh-negative and the

A. fetus is Rh-negative. B. fetus is Rh-positive. C. father is Rh-positive. D. father and fetus are both Rh-negative.

Correct Answer: B

Rationale: The correct answer is B because Rh incompatibility occurs when an Rh-negative mother carries an Rh-positive fetus. If fetal blood enters the mother's circulation during pregnancy or childbirth, the mother's immune system can produce antibodies against Rh-positive red blood cells, leading to potential harm to future pregnancies. Choices A, C, and D are incorrect because Rh incompatibility does not occur when the fetus is Rh-negative, the father is Rh-positive, or both the father and fetus are Rh-negative.

Question 2 of 5

A medical nurse is providing palliative care to a patient with a diagnosis of end-stage chronic obstructive pulmonary disease (COPD). What is the primary goal of this nurses care?

A. To improve the patients and familys quality of life B. To support aggressive and innovative treatments for cure C. To provide physical support for the patient D. To help the patient develop a separate plan with each discipline of the health care team

Correct Answer: A

Rationale: The correct answer is A: To improve the patients and familys quality of life. In palliative care for end-stage COPD, the primary goal is to enhance quality of life by managing symptoms, providing emotional support, and ensuring comfort. Choice B is incorrect as palliative care focuses on comfort rather than aggressive treatments. Choice C is incorrect because palliative care encompasses not only physical but also emotional, social, and spiritual support. Choice D is incorrect as the goal is to provide holistic care rather than separate plans for each discipline. Ultimately, the primary focus of palliative care in this scenario is to improve the overall quality of life for the patient and their family.

Question 3 of 5

A smiling patient angrily states, �I will notcough and deep breathe.� How will the nurse interpret this finding?

A. The patient�s denotative meaning is wrong. B. The patient�s personal space was violated. C. The patient�s affect is inappropriate. D. The patient�s vocabulary is poor.

Correct Answer: C

Rationale: The correct answer is C because the patient's affect, which refers to their emotional expression, is inappropriate. The patient is smiling while expressing anger, which is a contradiction. This inconsistency indicates a possible underlying issue such as emotional distress or confusion. Choice A is incorrect because the issue is not about the patient's understanding of the term "cough and deep breathe." Choice B is incorrect as there is no mention of personal space violation. Choice D is incorrect as the issue is not related to the patient's vocabulary but rather their emotional expression.

Question 4 of 5

A patient has been diagnosed with erectile dysfunction; the cause has been determined to be psychogenic. The patients interdisciplinary plan of care should prioritize which of the following interventions?

A. Penile implant B. PDE-5 inhibitors C. Physical therapy D. Psychotherapy

Correct Answer: D

Rationale: The correct answer is D: Psychotherapy. In the case of psychogenic erectile dysfunction, the underlying cause is psychological rather than physical. Psychotherapy helps address the mental health factors contributing to the condition, such as anxiety or relationship issues. It can help the patient understand and manage their emotions, thoughts, and behaviors related to the dysfunction. Penile implant (A) and PDE-5 inhibitors (B) are more appropriate for physical causes of erectile dysfunction. Physical therapy (C) focuses on musculoskeletal conditions and would not be effective for psychogenic causes.

Question 5 of 5

A patient with an inoperable brain tumor has been told that he has a short life expectancy. On what aspects of assessment and care should the home health nurse focus? Select all that apply.

A. Pain control B. Management of treatment complications C. Interpretation of diagnostic tests D. Assistance with self-care E) Administration of treatments

Correct Answer: A

Rationale: The correct answer is A: Pain control. This is the main focus because the patient's quality of life should be prioritized, and managing pain is crucial for comfort and well-being in end-of-life care. Pain can significantly impact the patient's physical and emotional state. The other choices are incorrect because managing treatment complications (B) and administering treatments (E) may not be relevant if the tumor is inoperable and the patient has a short life expectancy. Interpretation of diagnostic tests (C) may not be necessary at this stage, and assistance with self-care (D) may not be the main priority compared to pain control.

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Skildor

ATI RN