A patient has been experiencing significant psychosocial stress in recent weeks. The nurse is aware of the hormonal effects of stress, including norepinephrine release
Release of this substance would have what effect on the patient's gastrointestinal function? Select all that apply.
A) Decreased motility
B) Increased sphincter tone
C) Increased enzyme release
D) Inhibition of secretions
E) Increased peristalsis
Ans: A
Feedback:
Norepinephrine generally decreases GI motility and secretions, but increases muscle tone of sphincters. Norepinephrine does not increase the release of enzymes.
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Which statement reflects the most important use of power in nursing?
1. The nurse manager uses power when evaluating staff. 2. The nurse can use power to impact and improve client care. 3. The nurse uses power in relationships with unlicensed personnel. 4. The nurse manager can use power to assist newly licensed nurses.
The nurse manager has asked that another staff nurse position be funded for the unit. The supervisor denies the request
Which statements by the manager are examples of negative assertion? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "I know I haven't been too careful in keeping personnel costs low, but we are really going to need another position." 2. "I don't see why another position cannot be funded. We have met our budget each year for the last 3 years." 3. "I realize that my staff is not always positive about organizational changes, but having this extra staff member might reduce some of their stress." 4. "I can understand what you said about budget being tight, but we still need the position." 5. "Do you not understand how hard my nurses are working?"
A patient's chief complaint is an initial incident of vomiting followed by the onset of abdominal pain that has lasted more than 3 hours
To examine the patient's abdominal pain, you apply firm pressure to his abdomen for 4 seconds with your hand at a 90° angle and your fingers extended. After you release the pressure, the patient complains of pain at the pressure site, indicating a. referred rebound tenderness. c. direct rebound tenderness. b. localized pain. d. positive Cullen's sign.
While conducting a physical examination of the thorax, a nurse notes and documents breath sounds as moderate "blowing" sounds with equal inspiration and expiration. What type of breath sounds are these?
A) bronchial B) bronchovesicular C) vesicular D) adventitious