The nurse caring for a patient with pernicious anemia should make provisions for:
a. frequent iced drinks.
b. lightweight blanket.
c. a fan to circulate the air.
d. reverse isolation.
ANS: B
Persons with pernicious anemia are especially sensitive to cold. The provision of a light blanket is beneficial.
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The vaginal discharge following delivery is called lochia. It changes color over time and has different names. The initial discharge is charted by the nurse as lochia:
a. serosa. b. rubra. c. palatine. d. alba.
A nurse orienting to the postoperative area learns which principles about the postoperative period? (Select all that apply.)
a. All phases require the client to be in the hospital. b. Phase I care may last for several days in some clients. c. Phase I requires intensive care unit monitoring. d. Phase II ends when the client is stable and awake. e. Vital signs may be taken only once a day in phase III.
Which questions would assist the nurse in developing self-awareness when working with clients who have cognitive disorders? Standard Text: Select all that apply
1. How do the clients with cognitive disorders feel about working with me? 2. How do I feel about working with clients with cognitive disorders? 3. What do the clients like about working with me? 4. How can I help the client who is confused? 5. What frustrates me about working with them?
Which of the following is not used in the assessment phase of the nursing process?
a. Physical examination. b. Reviewing laboratory tests. c. Updating the care plan. d. Taking a nursing history.