A patient who is hospitalized with a pelvic fracture after a motor vehicle accident just received news that the driver of the car died from multiple injuries

What actions should the nurse take based on knowledge of the physiologic stress reactions that may occur in this patient (select all that apply)?
a. Assess for bradycardia.
b. Ask about epigastric pain.
c. Observe for decreased appetite.
d. Check for elevated blood glucose levels.
e. Monitor for a decrease in respiratory rate.


ANS: B, C, D
The physiologic changes associated with the acute stress response can cause changes in appetite, increased gastric acid secretion, and increase blood glucose levels. In addition, stress causes an increase in respiratory and heart rates.

Nursing

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