Which of the following is considered to be an immediate response to stress?
a. Constriction of pupils and peripheral blood vessels
b. Excessive sweating and weakness
c. Fatigue and carbon dioxide retention
d. Increased glucose production by the liver
D
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The school nurse completes an assessment of a 6-year-old child to determine the services this child will need in the classroom. The child needs respiratory support with oxygen
The child requires enteral tube feedings and intravenous medications during the school day. With these needs, the school nurse evaluates the child to be: 1. Developmentally delayed. 2. Mentally retarded. 3. Socially withdrawn. 4. Medically fragile
A 45-year-old man is in the clinic for a physical examination. During the abdominal assessment, the nurse percusses the abdomen and notices an area of dullness above the right costal margin of approximately 11 cm. The nurse should:
a. Document the presence of hepatomegaly. b. Ask additional health history questions regarding his alcohol intake. c. Describe this dullness as indicative of an enlarged liver, and refer him to a physician. d. Consider this finding as normal, and proceed with the examination.
An older client is exhibiting symptoms of major depressive disorder. A physician is considering prescribing an antidepressant. Which physiological problem should make a nurse question this medication regime?
1. Altered cortical and intellectual functioning 2. Altered respiratory and gastrointestinal functioning 3. Altered liver and kidney functioning 4. Altered endocrine and immune system functioning
To promote comfort for the terminally ill patient specific to nausea and vomiting, the nurse should:
A) provide prompt mouth care B) offer high protein foods C) increase the fluid intake D) place the patient supine