The nurse is reviewing the stress response. Which neurotransmitter should the nurse identify as most involved in this response?
1. GABA
2. Serotonin
3. Dopamine
4. Norepinephrine
4. Norepinephrine
Explanation: 4. Norepinephrine is an exciting neurotransmitter involved in the fight or flight response. Gamma-aminobutyric acid (GABA) is an inhibitory neurotransmitter that is calming, quieting, and relaxing. Serotonin is a modulating neurotransmitter involved in impulse control, mood, and affect. Dopamine is a modulating neurotransmitter involved in reward-seeking behavior.
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The nursing action contraindicated in the care of a client with a severe basilar skull fracture is
a. nasal suctioning. b. pharyngeal suctioning. c. raising the head of his bed. d. tooth brushing.
A patient says, "When I lost weight, everyone was so nice to me. Now that I've regained the weight, people don't want anything to do with me. They think I'm just a fat pig.". The nurse's initial response should be:
a. "It sounds as if your interpersonal relationships improved when you lost weight and now that you have regained the weight, you feel people don't want to be with you.". b. "Yes, there is a stigma about obesity. People are judged harshly for their weight.". c. "So, if you lose all the weight again do you think your relationships will improve?" d. "Do you really believe that your friends think that you are a ‘fat pig'?"
The nurse notes that an adolescent has crossed lower teeth. Why should the nurse recommend that the child see an orthodontist?
A) Leaving even slightly crooked teeth will lead to more cavities later in life B) Even slight malocclusions make chewing and jaw function less efficient C) The more common braces become, the more unacceptable crooked teeth are in society at large, affecting everything from dating possibilities to hiring D) Uncorrected malocclusions lead to infection and ultimately tooth loss
The nurse must bathe a patient with herpes. What is the nurse's best protection against contracting sexually transmitted diseases (STDs) from patients while providing perineal hygiene?
a. Practicing standard precautions b. Washing hands following care c. Wearing gloves at all times d. Avoiding touching patients who have STDs