A 72 year old patient is in a long term care facility after having had a CVA (stroke). The patient is noncommunicative, the enteral feedings are not being absorbed, and respirations are becoming labored. Which stage of GAS is the patient experiencing?
A) alarm reaction
B) resistance stage
C) exhaustion stage
D) reflex pain response
C) exhaustion stage
You might also like to view...
As an occupational health nurse at a large industrial plant, you are planning the return to work of an employee who was exposed to a chemical spill. To what type of stressor has this patient been exposed?
A) Physiologic B) Psychosocial C) Physical D) Psychiatric
As a home health nurse you know that to provide good patient care you must establish what kind of a work environment?
A) One that is quiet and restful B) One that is pleasant to be in C) One that facilitates rest and relaxation D) One that facilitates hand hygiene and aseptic technique
In the morning, a nurse receives a report on four pediatric clients, each of whom has some form of fluid volume excess. Which child should the nurse check first? The child with:
1. Periorbital edema, normal respiratory rate. 2. Tachypnea and pulmonary congestion. 3. Dependent and sacral edema, regular pulse. 4. Hepatomegaly, normal respiratory rate.
A nursing student is assigned to care for a child with sickle cell disease (SCD). The nursing instructor asks the student to describe the causative factors related to this disease
Which of the following statements, if made by the student, indicates a need for further research? 1. SCD is an autosomal recessive disease. 2. If each parent carries the trait, the children will inherit the trait. 3. Children with the HbS (sickle cell hemoglobin) trait are not symptomatic. 4. If one parent has the HbS trait and the other parent is normal, there is a 50% chance that each offspring will inherit the trait.