The patient has had a massive myocardial infarction resulting in severe compromise of contractility and hence cardiac output. The patient's body responds to this insult by activating the stress response
What is the most significant adverse effect that activation of the stress response will have for this patient?
A) Inhibition of parasympathetic outflow and gastrointestinal activity
B) Stimulation of alpha receptors and increase in blood pressure
C) Inhibition of venous constriction and reduction of volume return
D) Stimulation of beta-1 receptors and increased cardiac contractility
B
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Which of the following are central concepts in conceptual models of nursing? Select all that apply
A) Human beings B) Social support C) Health D) Environment
The nurse is performing the shift assessment on the client. During the assessment the nurse notes the client is demonstrating myoclonic jerking movements. The nurse completes the assessment and finds nothing else abnormal
A review of the medication record reveals the client has been taking morphine to manage cancer-related pain. The client has a variable dosage of morphine IV ordered. What action is indicated at this time? A) The nurse will need to contact the physician. B) Document the findings and continue to observe the client. C) Reduce the dosage administered to the lowest amount ordered. D) Order lab testing to determine toxicity levels.
In developing a plan of care for a client who has ruptured membranes for 24 hours, the nurse recognizes that it is essential to consider her increased risk of
a. hemorrhage c. supine hypotension b. precipitous labor d. chorioamnionitis
A nurse is assessing a pregnant adolescent. Which of the following would indicate that the client may be experiencing a nutritional problem?
A) Hot flashes B) Hypotension C) Sudden weight gain D) Flushing