What is the most common result of prolonged and unrelieved pain?
a. Release of endorphins
b. Lowered pain threshold
c. Stimulated gate control
d. Lowered blood pressure
B
Pain that is unrelieved lowers the pain threshold because the patient becomes anxious that the pain may not ever be relieved. The blood pressure increases, and the effects of endorphins and gate control have been exhausted.
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A client has been taught about retinitis pigmentosa (RP). What statement by the client indicates a need for further teaching?
a. "Beta carotene, lutein, and zeaxanthin are good supplements." b. "I might qualify for a retinal transplant one day soon." c. "Since I'm going blind, sunglasses are not needed anymore." d. "Vitamin A has been shown to slow progression of RP."
A pediatric nurse is teaching the family of a child with celiac disease about necessary dietary modifications to manage the disease. Which information does the nurse include in the teaching session? (Select all that apply.)
A. Eliminate all sources of corn. B. High-calorie, high-protein foods are preferred. C. Lactose restriction may be needed. D. Rye and wheat must be avoided. E. Watch for hidden sources of gluten.
A patient has asked why she needs to exercise. The nurse tells her that if the diabetic patient exercises, then the insulin requirement
a. increases. b. decreases. c. remains unchanged. d. is changed to regular insulin.
The adult abuser who receives a diagnosis of Munchausen syndrome by proxy:
a. is the victim of unnecessary medical treatment at the hands of another adult b. was the victim of unnecessary treatment in the past and now carries this pattern on c. uses this disease to escape from poor self-esteem, marital, physical, or mental problems d. is an uncaring and cunning individual who has psychological problems similar to antisocial behavior