The client is under immediate stress. The nurse assesses which sign as an effect of the sympathetic system?
A) Blood sugar of 65 mg/dL
B) Heart rate of 102 beats/minute
C) Increased bowel sounds
D) Cool, clammy skin
Ans: B
When stressed, the client's sympathetic system is activated, which causes an increase in heart rate. The sympathetic system also stimulates release of glycogen, which increases blood glucose levels and dilates skeletal muscle blood vessels. This would most likely cause warm skin. The parasympathetic system, which functions under normal conditions and at rest, stimulates secretion of digestive juices and the smooth muscle of the digestive tract, thus leading to increased peristalsis.
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