Richard is a nursing student who has severe test anxiety. When he receives a test in class, his heart rate increases, he feels more mentally alert and his pupils dilate
According to the general adaptation theory, this is what stage of the body's reaction to stress? A. Alarm
B. Resistance
C. Adaptation
D. Exhaustion
A
During the alarm reaction, rising hormone levels result in increased blood volume, blood glucose levels, epinephrine and norepinephrine amounts, heart rate, blood flow to muscles, oxygen intake, and mental alertness. In addition, the pupils of the eyes dilate to produce a greater visual field.
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A patient with moderate lower back pain tells the nurse, "My urine smells awful and is as dark as my glass of tea." Which action will assist in validating the patient's concern?
a. Ask the patient to describe the back pain. b. Review the lab results of the most recent urinalysis. c. Request the nursing assistant to obtain a set of vital signs. d. Check the patient's history for urinary tract infections.
Which assessment tool(s) is (are) the most comprehensive exam of an older adult's func-tional status?
a. Katz Index b. Fulmer SPICES c. The Functional APGAR Evaluation Tool d. The Older American's Resources and Services (OARS) instrument
A nurse is caring for a client with a chronic lower leg wound caused by venous insufficiency. Which action by the nurse is most appropriate?
a. Apply ice to the surrounding tissue. b. Elevate the leg and apply compression stockings. c. Keep the leg in one position to avoid further injury. d. Position the leg flat with heels elevated off the bed.
The nurse has been assigned to care for a patient. The patient has been unresponsive and had no living will. The patient's family has requested no resuscitative measures be implemented. They state this is what their loved one would want
The nurse feels confident that life saving measures would likely be successful if implemented. What action by the nurse is indicated? 1. The nurse should contact the hospital attorney. 2. The nurse should share their beliefs with the family. 3. The nurse should uphold the resuscitation orders listed in the patient's chart. 4. The nurse should share beliefs with the unit manager.