Chronic stress may lead directly to cardiovascular disease because of the repeated release of which of the following?
a. Histamine
b. Catecholamines
c. Cortisol
d. Protease
B
The stress response stimulates release of catecholamines from the sympathetic nervous system. This results in increased heart rate and contractility, vasoconstriction, and increased tendency of blood to clot. Cortisol is also released in the stress response, but it is more indirectly related to development of cardiovascular disease through altered glucose, fat, and protein metabolism.
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A nurse has integrated the principles of evidence-based practice into care. EBP has the potential to help the nurse achieve what goal?
A) Increasing career satisfaction B) Obtaining federal grant money C) Ensuring high quality patient care D) Enhancing the public's esteem for nursing
The nurse is faced with making an ethical decision regarding the care of the assigned client. Which of the following actions would be helpful to the nurse in making the right decision?
1. Discuss the dilemma with the client's family. 2. Call the Board of Nursing for assistance. 3. Contact the Legal Department of the agency. 4. Contact the agency ethics committee for assistance.
A client is taking a traditional antipsychotic medication. He is exhibiting grimacing and lip smacking. This side effect would be documented as which of the following?
A) Akinesia B) Akathisia C) Tardive dyskinesia D) Dystonia
Which of the following client statements would indicate that the client understands the instruction provided by the nurse regarding the management of fecal elimination?
a. I will limit my fluids 2 hours before bedtime. b. A cheese sandwich with white bread is a good lunch for this problem. c. I should wait a few minutes after I get the urge to have a bowel movement. d. I should plan the same time every day to defecate as well as when I get the urge.