Which of the following concepts should guide a nurse's plan of care for a pregnant woman who has just lost her home due to a forest fire?
A) The symptoms of acute stress disorder (ASD) develop more than one month after the traumatic event
B) Pathologic stress responses can affect the encoding and retrieval of memories
C) The release of dopamine in the medulla oblongata contributes to the development of posttraumatic stress disorder (PTSD)
D) Elevated stress levels during pregnancy are not associated with adverse fetal outcomes.
B) Pathologic stress responses can affect the encoding and retrieval of memories
Explanation: A) In ASD, symptoms are expected to occur within 1 month of the traumatic event, and symptoms are not expected to last longer than 4 weeks. In PTSD, symptoms are expected to take longer than 1 month to develop.
B) The acute stress state leads to increased release of norepinephrine within the hippocampus and other brain areas, which in turn affects the encoding and retrieval of memory.
C) The release of dopamine from the prefrontal cortex is enhanced in the presence of stressors of great intensity or long duration. This release of dopamine has been thought to contribute to the development of PTSD.
D) Heightened stress levels during pregnancy are associated with lower fetal birth weight and preterm birth.
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A client asks the nurse what atherosclerosis is. The nurse states
A) "It is the buildup of fat on the walls of the arteries." B) "Atherosclerosis is thickening of the pulmonary artery." C) "A client with atherosclerosis has no pulse in the feet." D) "Atherosclerosis causes pain in the lower extremities."
The nurse is caring for a client receiving gentamicin IV. Which laboratory tests should the nurse assess prior to administering the medication?
1. PTT 2. Liver function tests 3. Blood urea nitrogen 4. Complete blood count
During the assessment of the integumentary status the nurse determines that an older client is experiencing age-related skin changes. What did the nurse assess to make this clinical decision? (Select all that apply.)
1. Gray hair 2. Thick yellow peeling nails 3. Ecchymosis over bilateral thighs 4. Pustules on the lower neck region 5. Petechiae scattered over the forearms
A 75-year old resident in the nursing home has end stage dementia and experiences a 10-pound weight loss over the course of 2 months. The resident has become increasingly difficult to feed and often spits out food, pockets food, and frequently drools. The
a. Recommend to the physician that a gastric feeding tube be placed. b. Recommend to the physician that a swallowing evaluation be done. c. Amend the care plan to include vigorous feeding by the nursing assistants. d. Assure the family that feeding issues are often a characteristic of end-stage dementia.