A nurse is assessing a client experiencing anxiety and observes increased sweating and goose flesh. The nurse understands that these are the result of which substance?
A) Acetylcholine
B) Norepinephrine
C) Serotonin
D) Histamine
Ans: B
The sympathetic response associated with anxiety that leads to piloerection and sweating results from norepinephrine. Acetylcholine has no effect on the pilomotor muscles and sweat glands. Serotonin plays a role in the control of appetite, sleep, and mood states. Histamine controls gastric secretions and the smooth muscle of the gastrointestinal tract.
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A nurse cares for a client who is on a cardiac monitor. The monitor displayed the rhythm shown below:
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During an examination, the nurse knows that the best way to palpate the lymph nodes in the neck is described by which statement?
a. Using gentle pressure, palpate with both hands to compare the two sides. b. Using strong pressure, palpate with both hands to compare the two sides. c. Gently pinch each node between one's thumb and forefinger, and then move down the neck muscle. d. Using the index and middle fingers, gently palpate by applying pressure in a rotating pattern.
A 9-month-old baby who is developmentally delayed is tested for genetic abnormalities
After the results are back from the laboratory, a representative from the client's medical insurance company calls the nurses' station on the phone and asks for the results of the tests. How can the nurse best respond to this request? a. Refuse to give the information over the phone. b. Give a noncommittal response that "eve-rything is normal" even though it is untrue. c. Give the results as they are reported on the laboratory sheet because the insurance company is paying for the tests anyway. d. Tell the representative that the test results are not back yet.
The nurse is talking to Mrs. Brown, who relates that her husband is a type I male batterer. Based on this information, the nurse would suspect that Mr. Brown tends to:
A) Be at risk for violence to people both within and outside his family. B) Show intermittent remorse for the violence and abuse that he commits. C) Demonstrate symptoms of depression and harbor feelings of inadequacy. D) Purposefully remain socially isolated from people other than those in his family.