The provider has told the client that she must reduce the amount of stress in her life because it is having a negative effect on her heart. When the provider leaves the room, the client asks the nurse why stress would affect her heart

The nurse best responds by explaining: 1. "Stress causes a release of chemicals that cause blood vessels to narrow and heart rate to increase."
2. "Doctors always think women's problems are caused by stress."
3. "Stress raises blood pressure, which puts you at increased risk of heart disease."
4. "Stress causes the release of chemicals that destroy the kidney, and this impacts the heart."


1
Rationale: When the body is exposed to stress, the adrenal gland secretes epinephrine and norepinephrine, which causes vasoconstriction and increases the work of the heart making the risk of heart disease greater.

Nursing

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What was the earliest documentation of law governing the practice of medicine?

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When taking a history from a patient with peripheral vascular disease (PVD), the nurse would expect to find that the patient:

A) is over age 50 years old. B) is female. C) leads an active lifestyle. D) eats a healthy diet.

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The nurse is presenting a class on the pathophysiology of the different abortions. Some of the causes are which of the following? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. Chromosomal abnormalities 2. Insufficient or excessive hormonal levels 3. Sexual intercourse in the first trimester 4. Infections in the first trimester 5. Cervical insufficiency

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During orientation to an emergency department, the nurse educator would be concerned if the new nurse listed which of the following as a risk factor for impaired thermoregulation?

a. Impaired cognition b. Occupational exposure c. Physical agility d. Temperature extremes

Nursing