A group of nurses are planning the care of an older adult who is being rehabilitated following a stroke
A nurse notes that hypertension and cardiovascular disease could have occurred over time if the patient previously experienced a state of chronic arousal. In a state of chronic arousal, what can happen within the body?
A) Blood pressure decreases.
B) Serum glucose levels drop.
C) Arteriosclerosis may develop.
D) Tissue necrosis may occur.
Ans: C
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If the sympathetic-adrenal-medullary response is prolonged or excessive, a state of chronic arousal develops that may lead to high (not low) blood pressure, arteriosclerotic changes, and cardiovascular disease. If the production of ACTH is prolonged or excessive, behavior patterns of withdrawal and depression are seen. In addition, the immune response is decreased, and infections and tumors may develop.
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The nurse is performing a peripheral vascular assessment of a female client who is 7 months pregnant. The nurse notes mild peripheral edema, all other findings were normal. Which of the following actions by the nurse would be appropriate?
1. Notify the healthcare provider immediately regarding this abnormal finding. 2. Obtain an order from the healthcare provider for a diuretic to reduce the client's edema. 3. Document the findings as expected due to the client's pregnancy. 4. Educate the client regarding ways to reduce the risk about peripheral vascular ulcer development.
To reduce the risk of orthostatic hypotension in a client prescribed a diuretic antihypertensive medication, the nurse would teach the client to
a. increase fluid intake. b. increase intake of potassium. c. sit up before standing, and stand before walking. d. stand up quickly using sturdy support.
The pediatric nurse knows that the patient scheduled for cardiac transplantation is at risk for the following complications
Select all answers that apply. A) Rejection of the cardiac tissue B) Infection at the operative site C) Post-transplant lymphoproliferative disorder D) Transplant coronary artery disease
A client comes to the health center with vague complaints of head and shoulder pains. Physical assessment findings include several old and fresh bruises over the upper part of the client's body
What is the most appropriate question for the nurse to ask? A) "Did anyone hurt you?" B) "Did you have any falls lately?" C) "Are you playing a new sport?" D) "Do you have an alcohol problem?"