A patient was involved in a car accident and is in hypovolemic shock, with severe hypotension. Due to damage to the glossopharyngeal nerve, the baroreceptor reflex is inhibited in the patient
What effect of this impaired reflex should the nurse expect to see in this patient?
A) Rapid increase in blood pressure
B) Lack of immediate withdrawal from painful stimuli
C) Lack of compensatory increase in heart rate
D) Continuance of motor activity in the intestines
C
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The client with diabetes is taking a beta-adrenergic blocker for the management of valvular disorder. Which statement made by the client indicates a need for further teaching?
A) "I should avoid taking OTC cold medicines." B) "I should stop taking the medicine if I get dizzy." C) "I should take the medicine before meals." D) "I will need to check my blood sugar more often."
You are doing patient teaching with a patient diagnosed with acute rhinosinusitis. What possible complication would you teach the patient requires immediate follow-up?
A) Periorbital edema B) Mild pain on palpation C) Clear drainage from nose D) Blood-tinged mucous when blowing the nose
After giving birth to a stillborn infant, the woman turns to the nurse and says, "I just fi-nished painting the baby's room. Do you think that caused my baby to die?" The nurse's best response to this woman is:
a. "That's an old wives' tale; lots of women are around paint during pregnancy, and this doesn't happen to them." b. "That's not likely. Paint is associated with elevated pediatric lead levels." c. Silence. d. "I can understand your need to find an answer to what caused this. What else are you thinking about?"
The nurse is teaching a client who has a spinal cord injury how to prevent respiratory problems at home. Which statement indicates that the client correctly understands the teaching?
a. "I will use my incentive spirometer every 2 hours while I'm awake." b. "I will not drink thick fluids to prevent choking." c. "I will take cough medicine to prevent excessive coughing." d. "I will position myself on my right side so I don't aspirate."