A patient with a history of dog bites is admitted with a new severe dog bite and tells the nurse that he feels fine except for the bite. The nurse realizes this patient is functioning within which phase of the general adaptation syndrome?

1. Resistance
2. Alarm
3. Transaction
4. Exhaustion


Resistance

Rationale: The resistance stage reflects the individual's adaptation to the stressor. Ideally, the individual moves from the alarm stage to the resistance stage quickly so that physiological forces are used to increase the resistance to stress. At this time, adaptation may occur, involving mediation of the external and internal environments. Resistance is high at this time compared with the normal state. The body attempts to cope with the stressor and to limit the stressor to the smallest area of the body that can deal with it. The alarm stage is the first stage of the general adaptation syndrome and is where the fight-or-flight response is initiated. The exhaustion stage is the final stage and means that the adaptation the body made during the second stage cannot be maintained. This stage occurs only if the stress becomes overwhelming or is not removed. There is no transaction stage within the general adaptation syndrome.

Nursing

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The primary health care provider prescribes diazepam 10 mg IV to be administered to a client to control his seizures. The nurse would administer this drug over which time frame?

A) 1 minute B) 2 minutes C) 5 minutes D) 10 minutes

Nursing

The nurse includes in the discharge teaching of a patient who has had a lithotripsy that the patient should:

1. check for edema of the legs and ankles. 2. watch for stone debris in the urine in 1 to 4 weeks. 3. decrease fluid intake to 1000 mL/day. 4. remain on restricted activity for a week.

Nursing

If an immature child presents to the clinic with point tenderness over the distal physis of the wrist or ankle, but negative fracture by X-ray report or observation of films, your knowledge of the Salter-Harris fracture classification would identify

which of the following fractures? 1. Salter Harris I 2. Salter Harris II 3. Salter Harris III 4. Salter Harris IV

Nursing

Identify a difference between secondary amines and tertiary amines.

A. Tertiary amines produce more sedation than do the secondary amines. B. Tertiary amines contain three amine substitutions on the nitrogen, whereas secondary amines contain two amine substitutions on the nitrogen. C. Secondary amines mainly increase brain levels of norepinephrine more than serotonin, while the tertiary amines increase brain levels of serotonin more than epinephrine. D. All of the above are correct.

Nursing