A patient is admitted to the ICU with injuries sustained from a fall from a third-story window. The patient is conscious, his breathing is labored, and he is bleeding heavily from the abdomen
He groans constantly and complains of severe pain, but his movements are minimal. His heart rate is elevated. Which of these is a sign that he is in the second phase of the stress response? Select all that apply.
A) Bleeding heavily from his abdomen
B) Labored, slow breathing
C) Severe pain
D) Elevated heart rate
E) Minimal movement
C, E
You might also like to view...
Which of the following persons is exhibiting passive aggression?
a. The woman who willingly volunteers to help out at her child's school play b. The woman who says no when asked to go to a charity event c. The woman who asks a coworker to cover her shift d. The woman who agrees to cover a coworker's shift and complains to customers that she is supposed to be home
The husband of a 78-year-old postsurgical patient has approached the nurse, upset that his wife has become incontinent of urine during her hospital stay
The husband states that this is without precedent and he is adamant that the matter be looked into further. The nurse would recognize that which of the following factors may have contributed to this course of events? A) Age-related changes to genitourinary function B) Sensory deprivation C) Changes in diet since admission to the hospital D) Sedative effects of medications
The patient is due to begin treatment with invermectin. During the patient teaching session, he is taught that the best time of day to take this medication is:
a. At night, after his evening meal b. Three times daily, scheduled to coordinate with meals c. In the morning, after his breakfast d. In the morning before breakfast
A patient who is HIV-positive begins therapy with the fixed-dose combination nucleoside reverse transcriptase inhibitor (NRTI) Combivir (lamivudine/zidovudine) twice daily
The patient is in the clinic for follow-up 1 week after initiation of therapy and reports having nausea. The patient's creatinine clearance is 40 mL/minute. Based on these findings, the nurse will perform which action? a. Instruct the patient to take the medication 60 minutes prior to meals. b. Notify the provider to discuss single-dose NRTI products. c. Request an order for once-daily dosing of this medication. d. Suggest that the patient increase fluid intake.