A patient comes to the clinic complaining of insomnia. In his health history, the patient reveals that he works in a coffee shop, and as a snack he has been eating a cup of chocolate-covered coffee beans daily in the late afternoon
Based on the patient's statement, the nurse should assess for what other clinical manifestations? (Select all that apply.)
a. Vasodilation of blood vessels in the central nervous system
b. Elevated serum sodium levels
c. Diuresis
d. Bronchodilation
e. Nervousness
ANS: C, D, E
Caffeine, which the patient is ingesting from the coffee beans daily, causes relaxation of bronchial smooth muscle, which promotes bronchodilation, nervousness, and diuresis secondary to vasodilation of the blood vessels in the peripheral vascular system.
Caffeine causes vasoconstriction of the blood vessels in the central nervous system.
Caffeine does not elevate serum sodium levels.
You might also like to view...
The nurse is teaching parents of the child with sickle-cell disease how to avoid precipitating factors that can contribute to a sickle-cell crisis
Which are precipitating factors that could contribute to a sickle-cell crisis? Standard Text: Select all that apply. 1. Regular exercise 2. Fever 3. Dehydration 4. Altitude 5. Increased fluid intake
A nurse is participating in the application of a fiberglass cast to a client's hand. Which of the following procedures must the nurse avoid when applying premoistened rolls of fiberglass?
A) Wash the client's skin with soap and dry it well. B) Cover the skin with a protective padding. C) Administer a pain-relief medication. D) Open all the foil packets at once.
During the evaluation process, the community health nurse collects information and knows that evaluation criteria must be timely and comprehensive. What type of evaluation is best when beginning to plan a community health program?
A) Formative B) Impact C) Outcome D) Managed
Which findings would lead to increased bilirubin levels in the newborn?
A. Cord clamped immediately following delivery of newborn B. Meconium passed after 24 hours C. Initiation of newborn feedings were delayed following birth D. Hyperglycemia E. Twin to twin transfusion syndrome