During an assessment, the nurse determines that a client is experiencing sympathetic responses. Which of the following did the nurse assess in this client? (Select all that apply.)
1. Decreased heart rate
2. Increased bowel sounds
3. Dilated pupils
4. Increased heart rate
5. Increased blood pressure
6. Increased respiratory rate
3, 4, 5, 6
Assessment findings consistent with a sympathetic response include dilated pupils, increased heart rate, increased blood pressure, and increased respiratory rate. Assessment findings consistent with a parasympathetic response include decreased heart rate and increased bowel sounds.
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What factor contributes to a poor outcome for clients with anorexia nervosa?
1. Treatment approaches are fragmented and controversial. 2. The client with anorexia nervosa actively resents or refuses treatment. 3. There is no cure for anorexia nervosa. 4. Changes in the client's behavior are irreversible.
Convert 54 kilograms to an equivalent amount in pounds
1. 108 pounds 2. 24.54 pounds 3. 118.8 pounds 4. 27 pounds
The nurse is planning care for a young adolescent client diagnosed with asthma. Which evidence-based age-appropriate interventions will the nurse include in the plan of care?
Select all that apply. A) Referring to a peer-lead support group B) Teaching the parents how to administer maintenance medication prior to teaching the client C) Assessing peer-support when planning care D) Collaborating with teachers for support in the school setting E) Telling the client to avoid medication while at school
A nurse would determine that a client has a collaborative problem if the:
1. physician or authorized health care provider is the only one who can manage the problem. 2. problem will apply to the client's situation for more than one day. 3. nurse can independently prescribe and perform the interventions to treat the problem. 4. problem requires interventions from more than one type of health care team member.