A nurse cares for a client who has excessive catecholamine release. Which assessment finding should the nurse correlate with this condition?
a. Decreased blood pressure
b. Increased pulse
c. Decreased respiratory rate
d. Increased urine output
ANS: B
Catecholamines are responsible for the fight-or-flight stress response. Activation of the sympathetic nervous system can be correlated with tachycardia. Catecholamines do not decrease blood pressure or respiratory rate, nor do they increase urine output.
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A new mother asks the clinic nurse if she must continue giving her baby nystatin for thrush since the white lesions on his tongue have disappeared. What response by the nurse is most appropriate?
a. "No. When the lesions have gone you may stop the nystatin." b. "Yes. You should continue it for the full 7 days." c. "No. Thrush is a self-limiting disorder and nystatin is given for comfort only." d. "Yes. The medication should be refilled for a second week of therapy."
An older client has noticed that she has had a marked increase in bruising over the past several weeks. Increased bruising may be associated with which of the following conditions?
A) thrombocytopenia B) leukopenia C) thrombocytosis D) anemia
Typically, new mothers in an Obstetrical Unit in a hospital begin caring for their infants immediately with the educational assistance and supervision of the staff. The reason for this practice is that:
1. it is more economical for the hospital. 2. it enhances infant care. 3. it motivates learning. 4. when learning is put into practice immediately, clients retain more information and skills.
A patient comes into the clinic complaining of a new onset of hoarseness. What additional assessment findings should the nurse use to suspect that this patient is experiencing a thoracic aneurysm?
Select all that apply. 1. brassy cough 2. lumbar back pain 3. edema of the face 4. distended neck veins 5. absent pulses in the wrists