The client is experiencing physiologic signs and symptoms of stress, including which of the following? (Select all that apply.)
a. irritability d. confusion
b. nausea e. insomnia
c. increased breathing f. headache
B, C, F
Nausea, increased breathing and headache are physiologic signs and symptoms of stress. Insomnia is a behavioral sign and symptom of stress, confusion is a cognitive sign and symptom of stress, and irritability is a psychological sign and symptom of stress.
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A person who is declared brain dead
A) is without pulse and respiration. B) has no blood pressure. C) has a flat EEG. D) responds to deep pain.
An 80-year-old female was admitted with aspiration pneumonia. During her assessment, she mentions she has recently had difficulty eating because "everything keeps going down the wrong pipe
" When the nurse is developing a care plan, which of the following is an appropriate nursing diagnosis to include? A) High risk of aspiration C) Rule out aphasia B) Increased mucus production D) COPD
The client has been prescribed Doxylamine (Unisom) for treatment of nausea and vomiting during pregnancy. What aspect of the client's history will cause the nurse to contact the primary health care provider?
a. Arthritis b. Depression c. Asthma d. Hyperglycemia
The nurse explains that when a neonate's bilirubin rises to 7 mg/dL, phototherapy is initiated to:
a. Convert indirect bilirubin to direct bilirubin to be excreted b. Warm the neonate to better excrete the excess bilirubin c. Dilate the blood vessels to aid in excretion of the excess bilirubin d. Stimulate the production of melanin in the skin to absorb the excess bilirubin