An older adult patient in a long-term care facility recently suffered a stroke after experiencing a myocardial infarction. The patient is not speaking or eating. The nurse notices a change in vital signs
When a patient is unable to resist the effects of a stressor, the nurse can identify this stage of the general adaptation system as: A. alarm reaction.
B. the resistance stage.
C. the exhaustion stage.
D. fight-or-flight response.
C
In the alarm stage, rising hormones result in an increased blood pressure, blood glucose levels, epinephrine and norepinephrine levels, heart rates, blood flow to muscles, oxygen intake, and mental alertness. During the resistance stage, the body stabilizes and responds in an opposite manner to the alarm stage. Changes that occur during the alarm stage prepare the body for the fight-or-flight mechanism.
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a. CI of 2-100 mm b. CI of 15-75 mm c. CI of 25-75 mm d. CI of 2-5 mm
The nurse is instructing a patient on ways to prevent the onset of infection. What should be included in these instructions?
1. Wash hands after using disposable tissues for nasal secretions. 2. Reduce animal protein in the diet. 3. Take prescribed antibiotics until symptoms subside. 4. There is no need to limit interactions with people or crowds.
Which laboratory value must be monitored after a patient takes bisacodyl (Dulcolax) for constipation?
a. Sodium b. Potassium c. Creatinine d. Blood urea nitrogen
What is the average normal capacity of an adult bladder?
a. 250 mL b. 500 mL c. 750 mL d. 1000 mL