The client has anemia and all the following clinical manifestations. Which manifestation indicates to the nurse that the anemia is a long-standing problem?
A. Headache
B. Clubbed fingers
C. Circumoral pallor
D. Orthostatic hypotension
B
Clubbing of the fingers requires prolonged hypoxia (many months to years) to develop.
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The physician has ordered a medication that is contraindicated for the patient. The nurse, after discussion with the physician and the pharmacy, refuses to administer the medication. Upon what legal principle does the nurse base this refusal?
A) Respondeat superior B) Captain of the ship C) Corporate liability D) Rule of personal liability
In the majority culture of the United States, the individual at greatest risk for being labeled mentally
ill is a. one who is wealthy and goes around the city giving away $20 bills to needy individuals. b. one who attends a charismatic church and describes hearing God's voice speaking to her. c. one who always has an optimistic viewpoint about her life situation and the possibility of having her needs met. d. one who is usually pessimistic about possible outcomes but strives to meet personal goals.
Which is an appropriate intervention for a child with nephrotic syndrome who is edematous?
a. Teach the child to minimize body movements. b. Change the child's position every 2 hours. c. Avoid the use of skin lotions. d. Bathe every other day.
After teaching a group of nursing students about a neutral thermal environment, the instructor determines that the teaching was successful when the students identify which of the following as the newborn's primary method of heat production?
A) Convection B) Nonshivering thermogenesis C) Cold stress D) Bilirubin conjugation