Which clinical manifestation would indicate to a nurse that a patient has been employing relaxation training successfully? (Select all that apply.)
a. Decreased blood pressure
b. Decreased bowel sounds
c. Decreased respirations
d. Decreased apical pulse
e. Decreased pupil size
A, C, D, E
The manifestations of relaxation include reduced blood pressure, pulse, peripheral temperature, and respirations; peripheral vasoconstriction; and constricted pupils. Bowel sounds would not necessarily be affected.
You might also like to view...
A child experiences a respiratory arrest and is intubated. What is the best nursing assessment parameter to immediately verify proper placement of the endotracheal tube?
A) Symmetrical rise and fall of the chest B) Chest x-ray shows right bronchial intubation. C) Tidal volume is within limits for age. D) Absence of sternal retractions and grunting
A parent of a child suspected of having systemic lupus erythematosus (SLE) asks why so many blood tests are being done. Which response by the nurse is the most appropriate?
A. "Many of these blood tests look for possible organ damage from SLE." B. "SLE is a complicated disorder and is very hard to diagnose." C. "This is a very typical pattern of diagnostic blood tests we usually do." D. "We are also checking for other possible autoimmune diseases."
During a follow-up visit to the clinic, a victim of sexual assault reports that she has changed her job and moved to another town. She tells the nurse, "I pretty much stay to myself at work and at home
" The nurse interprets these findings to indicate that the client is in which phase of rape recovery? A) Disorganization B) Denial C) Reorganization D) Integration
The nurse is providing education to a 21-year-old construction worker who is being treated for severe acne. The prescriber orders isotretinoin (Accutane) as treatment for the acne. Which instruction is most pertinent for the nurse to provide?
a. "Wear protective clothing when in the sun." b. "Use abrasive soap to aid in desquamation." c. "Discontinue use of the drug if flaking of the skin occurs." d. "Wear sunglasses as protection against photophobia."