During the physical assessment of a hospitalized client, the client stated, "I've been under an incredible amount of stress after the healthcare provider diagnosed me with colon cancer 2 days ago."
Which of the following findings are associated with increased stress? Standard Text: Select all that apply. 1. Apical heart rate is 104 beats per minute.
2. Respiratory rate is 16 breaths per minute.
3. Pupils were equal, dilated, and round.
4. Client is hypoglycemic.
5. Blood pressure is 158/94.
1,3,5
Rationale 1: Apical heart rate 104 beats per minute. When the client is experiencing increased levels of stress, the apical heart rate increases.
Rationale 2: Respiratory rate 16 breaths per minute. The client with increased levels of stress will have an increased respiratory rate. This is a normal value.
Rationale 3: Pupils were equal, dilated, and round. The client who is experiencing increased levels of stress may exhibit dilated pupils.
Rationale 4: Client is hypoglycemic. The client with increased levels of stress will have an increased serum glucose level. This is a normal value.
Rationale 5: Blood pressure 158/94. The client who is experiencing increased levels of stress may have an increased blood pressure.
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