A patient has just been admitted to the ICU after being in a severe auto accident and losing one of her legs. Her husband has his hand over his heart and complains of a rapid heart rate
The nurse recognizes his condition as a sign of which stage of the general adaptation syndrome to stress?
A) Alarm stage
B) Exhaustion stage
C) Resistance stage
D) Adaptation stage
A
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Place these pathophysiologic mechanisms of DIC in the order in which they occur
1 . Activation of the fibrinolytic system 2 . Breakdown of thrombi; spontaneous hemorrhage 3 . Consumption of coagulation factors; failure of regulatory mechanisms 4 . Endothelial damage; release of tissue factor 5 . Thrombin formation; clots form along epithelial walls a. 4, 5, 3, 1, 2 c. 5, 1, 2, 4, 3 b. 4, 1, 3, 2, 5 d. 2, 3, 1, 5, 4
The nurse notes that a client was treated for labyrinthitis on a previous admission. To determine whether the problem has resolved, the nurse should ask the client:
1. "Have you noticed any drainage from your ears?" 2. "Are you still having earaches?" 3. "Are you having difficulty with your balance?" 4. "Do you ever have ringing in your ears?"
The nurse is collecting data on an 18-month-old old child with autism. Which manifestation would most likely have been seen in this child?
A) The child cries and runs to the door when the caregiver leaves the room B) The child smiles when the caregiver shows her a stuffed animal C) The child sits quietly in the caregivers lap during interview D) The child does not respond or talk to the nurse when asked simple questions
It is important for nurses to identify and publicize what the roles of nurses and advanced practice nurses are. During which of the following would it be particularly important for nurses to do so to maximize nurses' participation?
A. Collaboration with the health team on any issue B. Management of patient data C. Management of all information for the critical path D. Centralization of unit decision making