A mother reports that her baby's skin always appears flushed. What does the nurse suspect to be the reason for this condition in the infant?
A. Loss of water and fluids
B. Increased acid production
C. Increased heat production
D. Loss of heat from the body
Answer: D. Loss of heat from the body
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A victim of a sexual assault occurring approximately 1 hour ago is sitting in the emergency
department cubicle, rocking back and forth and repeating over and over "I cannot believe he raped me.". This behavior should be assessed as characteristic of a. the controlled impact reaction to rape-trauma syndrome. b. the angry stage of rape-trauma syndrome. c. the delayed reaction to rape-trauma syndrome. d. phobic reaction to rape-trauma syndrome.
Which of the following best describes patient presentation during a myoclonic seizure?
A. blank staring lasting 3 to 50 seconds, accompanied by impaired level of consciousness B. awake state with abnormal motor behavior lasting seconds C. rigid extension of arms and legs, followed by sudden jerking movements with loss of consciousness D. brief, jerking contractions of arms, legs, trunk, or all of these
A patient has had great difficulty controlling hypertension with standard drug therapy. She says, "My neighbor couldn't get her blood pressure down until the doctor started her on hydralazine (Apresoline). Which response, by the nurse, is indicated?
1. "Because you had rheumatic fever that damaged your heart, this is not a good drug for you." 2. "Your neighbor must be over age 70." 3. "Your lupus diagnosis keeps us from using that drug." 4. "You should not use that drug because you have rheumatoid arthritis." 5. "We try to avoid using hydralazine (Apresoline) because it causes constant coughing."
A client asks the nurse about having a pacemaker placed in the "AV node". Which statement by the nurse best describes a pacemaker placed in the AV node?
1. This pacemaker will generate an electrical signal from the atria to the ventricles. 2. This pacemaker will generate an electrical signal from the sinoatrial node. 3. This pacemaker will generate a mechanical disruption of force to the entire heart. 4. This pacemaker will generate a force of contraction from the ventricles to the atria.