Which of the following would be a sympathetic nervous system response to panic anxiety?
A) Decreased blood pressure
B) Increased heart rate
C) Dry skin
D) Pale extremities
B
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The postanesthesia care unit (PACU) nurse is caring for a patient that had succinylcholine (Anectine) as an adjunct to anesthesia. What is the nurse's priority assessment while caring for this patient?
A) Movement B) Temperature C) Mental status D) Heart rate
The nurse is planning the care of a woman who is scheduled to begin radiation therapy for the treatment of invasive breast cancer
The nurse is aware that this treatment is often well-tolerated but that it creates a risk of which of the following nursing diagnoses? A) Acute pain B) Unilateral neglect C) Ineffective thermoregulation D) Impaired skin integrity
An adolescent patient says to a nurse, "I'm so glad you've come in. The nurse manager ordered me to stay in my room until dinner just because I got into another fight!" An appropriate response from the nurse would be:
a. "You're not going to split me from the nurse manager. Please go back in your room until your time-out is finished.". b. "I'm wondering why you've left your room, then. Please return to your room until your time-out is completed. I will talk with you after that.". c. "I'm sorry to hear that you are being punished. Please return to your room immediately. We can talk about this when your time-out is over.". d. "It sounds as if you haven't had a very good day. Return to your room, and complete your time-out. I will speak with you after dinner.".
Because her advancing lung cancer will likely result in respiratory distress, which
interventions should you include in her plan of care? Select all that apply. a. Perform a respiratory assessment at each visit. b. Administer low-dose morphine sulfate if vital signs are adequate. c. Maintain room at a warm temperature and have blankets available. d. Have her space activities and rest as needed in a position of comfort. e. If oxygen saturation falls below 90% on room air, begin oxygen at 2 L.