The nurse administers a medication to a patient that stimulates the sympathetic nervous system. The nurse should assess the patient for which intended effect?
A. Increased heart rate
B. Blood pressure reduction
C. Bronchial constriction
D. Decreased blood glucose
Answer: A. Increased heart rate
Rationale: Sympathetic nervous system activation results in increased heart rate and blood pressure, bronchial dilation, and increased blood glucose levels.
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A patient tells the nurse that she does not like to "go to the doctor" and is feeling anxious about "being in this place." When the nurse checks her blood pressure, it is elevated along with her heart rate
The nurse rechecks her blood pressure about 10 minutes later and it is normal. The patient asks the nurse if she should be concerned that she may have hypertension. What statement should guide the nurse's response? A) She should not worry; it was stress related and her regular blood pressure is good. B) The first blood pressure was part of a simple stress response; our long-term blood pressure is controlled by negative feedback systems. C) Blood pressure is only one measure of hypertension; she should review this with the doctor and plan to recheck it on a regular basis. D) The respiratory infection is the probably the cause of the elevated blood pressure, and, with treatment, her blood pressure should remain normal.
Children of a widow confer with the nurse because their mother repeatedly tells details of finding her husband not breathing, performing CPR, the trip to the hospital, and seeing him pronounced dead
Family members are concerned that this is traumatic to others hearing the story and ask, "What can we do?" The nurse should counsel the family that: a. they should express their feelings to their mother and ask her not to retell the story. b. the retelling should be limited to once daily to avoid unnecessary stimulation. c. repeating the story and her feelings is a helpful and necessary part of grieving. d. retelling of memories is expected as part of the aging process.
How is medication administered to a client using the Z-track technique of injection?
a. The skin is pinched gently, and the needle is inserted at a 45-degree angle. b. The skin is stretched tautly between thumb and forefinger, and the needle is inserted at a 25-degree angle. c. The skin is pulled to one side, and the needle is inserted at a 90-degree angle. d. The skin is cleansed, and the needle is inserted at a 15-degree angle.
A nurse providing prenatal care to a pregnant woman is addressing measures to reduce her postpartum risk of cystocele, rectocele, and uterine prolapse. What action should the nurse recommend?
A) Maintenance of good perineal hygiene B) Prevention of constipation C) Increased fluid intake for 2 weeks postpartum D) Performance of pelvic muscle exercises