Which collaborative problem will the nurse include in a care plan for a patient admitted to the hospital with idiopathic aplastic anemia?
a. Potential complication: seizures
b. Potential complication: infection
c. Potential complication: neurogenic shock
d. Potential complication: pulmonary edema
ANS: B
Because the patient with aplastic anemia has pancytopenia, the patient is at risk for infection and bleeding. There is no increased risk for seizures, neurogenic shock, or pulmonary edema.
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A client tells the nurse that he recently participated in a ceremony conducted by a shaman to help relieve his back pain. Shamanism refers to:
a. a belief that body and mind are separate entities. b. entering altered states of consciousness with the intent of helping others. c. embracing the concept of an energy force in the body that seeks balance or harmony. d. restricting the types of foods that a person can eat when ill.
You assess a postpartum woman's perineum and notice that her lochial discharge is moderate in amount and red. You would record this as what type of lochia?
A) Lochia rubra B) Lochia serosa C) Lochia normalia D) Lochia alba
The first TJC guideline for verbal orders is to _________ _____ _______
Fill in the blank(s) with correct word
The nurse manager of the medical intensive care unit formed a group to help her staff cope with stress more effectively. Which of the comments by group members will lead the manager to evaluate the group as successful?
a. "This was a good idea to form a group; I've been wanting to get to know some of the people from the other shifts." b. "It really helps me to share feelings about how hard it is to see pain and suffering every day." c. "I now have a group to help me when I need to work through situations at home causing personal stress." d. "It's nice to have a chance to get away from the unit and talk on a regular basis."