On the first postpartum day, the nurse teaches the client about breastfeeding. Two hours later, the mother seems to remember very little of the teaching. The nurse understands that this memory lapse is due to:
A. The taking-hold phase.
B. Postpartum hemorrhage.
C. The taking-in phase.
D. Epidural analgesia.
C
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An Orthodox Jewish patient has died at 0300 on a Wednesday, and no family member was present. What intervention should the culturally competent nurse implement before the family arrives?
a. Avoid touching the body until an Ortho-dox Jew arrives. b. Call the hospital chaplain to come and stay with the body. c. Place the patient's copy of the Koran at the bedside. d. Wash the body and straighten up the room.
Core competencies for the midwife in assisting the client in decision making include all of the following except:
a. assessment skills. b. effective communication. c. scientific knowledge. d. a risk-based approach.
A client is admitted to the post-anesthesia care unit (PACU) following a left hip replacement. The initial nursing assessment findings are T 96.6 degrees F (35.9 degrees C), pulse 90, RR 14, and BP 128/80. The client only responds with moaning when spoken to. The nurse should first:
a) Administer sedation reversal agent such as flumazenil. b) Observe the surgical dressing. c) Position the client on the right side. d) Remove the oral airway remaining from surgery.
Which was the first formal action the American Nurses Association (ANA) took in rela-tion to gerontological nursing?
a. Established a national geriatric nursing group. b. Defined educational standards for gerontology. c. Created the ANA Division of Geriatric Nursing. d. Formed the Council of Long Term Care Nurses.