A client is informed of the need for surgery to correct a potentially life-threatening health problem. Afterward, the nurse determines that the client is experiencing physiological indicators of stress because what was assessed?
1. Dilated pupils.
2. Diaphoretic.
3. Tachycardia.
4. Flaccid muscle tone.
5. Excessive oral secretions.
Correct Answer: 1,2,3
Rationale 1: Pupils dilate to increase visual perception when serious threats to the body arise.
Rationale 2: Sweat production or diaphoresis increases to control elevated body heat due to increased metabolism.
Rationale 3: The heart rate increases to transport nutrients and by-products of metabolism more efficiently.
Rationale 4: Muscle tension increases to prepare for rapid motor activity or defense.
Rationale 5: The mouth might be dry, and would not have an increase in oral secretions.
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