The nurse is performing a physical assessment of patient who is undergoing a bone marrow biopsy. What finding by the nurse indicates the patient is experiencing stress?
a. Blood pressure of 120/84
b. Temperature of 37.5 ° C
c. Heart rate of 110 beats/min
d. Respiratory rate of 10 breaths/min
ANS: C
The release of hormones increase the heart rate, resulting in increased cardiac output and elevated blood pressure. A reading of 120/84 is a normal blood pressure, and temperature is elevated is indicative of an infection. The respiratory rate increases in stress not decreases.
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A male patient is taking warfarin and is asking about what he can take for minor aches and pains. The best recommendation is:
A) Ibuprofen 400 mg three times a day B) Acetaminophen, not to exceed 4 grams per day C) Aspirin 640 mg three times a day D) Prescribe acetaminophen with codeine
Which statement is true about transitions?
a. Transitions are stressful events for all families. b. Transitions require coping skills which must be taught to some families. c. Transitions address the family skills necessary to meet developmental goals. d. Transitions present new situations and demands for families.
The nurse who provides care in the work setting is practicing
a. Community-oriented nursing practice b. Public health nursing practice c. Community health nursing practice d. Community-based nursing practice
A community health nurse is caring for a variety of different people in the community. Which of the following individuals would the nurse recognize as being at risk to experience increased stress related to family dynamics?
a. A 54-year-old couple whose young adult daughter and grandson move back into their home b. A 44-year-old single mother raising three adolescent children without child support c. A 60-year-old couple whose children have established successful careers in another state d. A 36-year-old couple whose child plays competitive tennis