The nurse identifies that a client is experiencing the resistance stage of the general adaption syndrome when what is assessed?
1. Client is unable to focus on activities and events.
2. Client is exhausted, and spends time sleeping.
3. Localized swelling and inflammation of a leg wound.
4. Capillary blood glucose level 180 mg/dL.
Correct Answer: 3
Rationale 1: The client's inability to focus on activities and events is not a characteristic of the resistance stage of the general adaption syndrome.
Rationale 2: The client's being exhausted and sleeping are characteristics of the stage of exhaustion within the general adaption syndrome.
Rationale 3: In the second stage in the general adaption syndrome, the stage of resistance is when the body's adaption takes place. The body attempts to cope with the stressor and to limit the stressor to the smallest area of the body that can deal with it, such as with localized swelling and inflammation of a leg wound.
Rationale 4: An elevated capillary blood glucose level is a finding associated with the alarm stage of the general adaption syndrome.
You might also like to view...
A patient develops a fever, rash, joint and muscle pain, and swollen lymph nodes after receiving a sulfonamide. What should these symptoms suggest to the nurse?
1. serum sickness 2. exacerbation of a disease process 3. acute influenza 4. subacute rheumatoid arthritis
The patient who is preparing for surgery asks the nurse to keep his glasses in place until he is under anesthesia. Which statement by the nurse demonstrates accurate, therapeutic communication?
1. "I will contact the surgery department to discuss your requests.". 2. "You cannot keep your glasses on.". 3. "The policies in the surgery unit will not allow it.". 4. "Certainly, you can keep them for that time.".
Which finding should the nurse instruct the client receiving tamoxifen to immediately report to the healthcare provider?
A. A temperature of 101.1°F B. Weight gain of 3 pounds in 1 week C. Size increase of the tumor D. Nausea and vomiting
A mother brings her 3-month-old infant to the community clinic with complaints of diarrhea for the past week. The infant's vital signs are normal and there are no signs of dehydration. When questioned about her baby's diet, the mother who is bottle-feeding states that she has been giving her baby some baby cereal at night to help her sleep through the night. What teaching intervention would be appropriate for this mother?
What will be an ideal response?