The nurse is assessing a patient and finds two enlarged supraclavicular lymph nodes. The nurse asks the patient how long these nodes have noticeably enlarged
The patient states, "I can't remember. A long time I think. Do I have cancer?" Which of the following is an immediate physiologic response to stress the nurse would expect this patient to experience?
A) Vasodilation of peripheral blood vessels
B) Increased blood pressure
C) Decrease in blood glucose levels
D) Pupil constriction
Ans: B
Feedback:
An initial response to stress, as seen by the fight-or-flight response, is an increase in the patient's heart rate and blood pressure. Vasoconstriction leads to the increase in blood pressure. Blood glucose levels increase, supplying more readily available energy, and pupils dilate.
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A child has been diagnosed with oppositional defiant disorder (ODD). The parents ask the nurse what risk factors the child has for this disorder. Which response by the nurse is the most appropriate?
A. "I am not sure; you can ask the doctor during your appointment." B. "It seems to be an inherited problem from a recessive gene." C. "The etiology seems to be complex, with multiple causes." D. "Unfortunately, nobody knows what causes this condition."
In which situation is a baseline fetal heart rate of 160 to 170 beats per minute be considered a normal finding?
a. The fetus is at 28 weeks of gestation. b. The mother has been given an epidural block. c. The mother has a history of fast labors. d. The mother has mild preeclampsia but is not in labor.
The nurse is assessing a toddler-age patient during a scheduled examination. When assessing the spine, which normal developmental change may be noted?
1) Kyphosis 2) Lordosis 3) Scoliosis 4) Kyphoscoliosis
The nurse is teaching a nursing student about giving liquid medications. Which statement by the student indicates understanding of the teaching?
a. "A suspension is a mixture in which drug particles are dissolved in solution." b. "I will line up the bottom of the medication curve with the line in the syringe." c. "I will need to shake an elixir before measuring the dose." d. "I will not need to refrigerate liquids once they are reconstituted."