The nurse is providing care for patients on the neurological step-down unit and notices a patient startle when the alarm rings for a fire drill. After reassuring the patient that there is no danger, an assessment is completed
The nurse recognizes which of the following findings may be related to a sympathetic response?
a. Diminished bowel sounds
b. Wheezing
c. Confusion
d. Incontinence
ANS: A
The sympathetic division is dominant in stressful situations such as fear, anger, anxiety, and exercise, and the responses it brings about involve preparedness for physical activity, whether or not it is actually needed. The heart rate increases, vasodilation in skeletal muscles supplies them with more oxygen, the bronchioles dilate to take in more air, and the liver changes glycogen to glucose to provide energy. Relatively less important activities such as digestion are slowed, and vasoconstriction in the skin and viscera permits greater blood flow to more vital organs such as the brain, heart, and muscles. The urethral sphincter contracts to prevent urination.
You might also like to view...
A patient who has been taking valproic acid (sodium valproate) for a seizure disorder is asking the nurse about getting pregnant. Why is pregnancy discouraged in women who are being treated for seizure disorders?
A) Seizure disorders are genetic. B) Seizure disorders are familial. C) Antiepilepsy drugs decrease fertility. D) Antiepilepsy drugs are teratogenic.
A nurse who is caring for a patient who is newly diagnosed with HIV knows that an effective teaching–learning program requires careful and deliberate planning
What priority question should a nurse ask himself or herself before initiating health education with a patient? A) "What are the consequences if this person does not learn about his or her condition?" B) "How willing and able to learn is this person?" C) "Who is the best person to teach this patient?" D) "When is the best time to begin health education with this patient?"
A nurse is caring for a stable toddler diagnosed with accidental poisoning due to the ingestion of cleaning solution. What must be included in teaching parents about how to protect a toddler from accidental poisoning?
A) Closely monitor the toddler's activity. B) Label poisonous solutions. C) Keep cleaning solutions locked up. D) Do not leave the toddler alone.
The nurse has taught a group of clients with asthma the importance of knowing when to use quick-relief medications and when to use long-acting medications
The nurse knows the clients have understood the teaching when they identify which medications as long acting? Standard Text: Select all that apply. 1. budesonide (Pulmicort) 2. nedocromil (Tilade) 3. zafirlukast (Accolate) 4. albuterol (Ventolin) 5. ipratropium (Atrovent)