The neuroendocrine stress response produces which of the following? (Select all that apply.)
a. Elevated blood pressure
b. Decreased gastric motility
c. Tachycardia
d. Heightened pain awareness
e. Increased glucose
A, B, C, E
The fight-or-flight response, or sympathetic nervous response, releases catecholamine that causes an increased heart rate and blood pressure. Blood is shunted form nonessential organs such as the stomach, glucose is made available to the brain cells, and pain awareness is decreased.
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The nurse is providing initial screening to determine gross hearing acuity as part of a complete physical. Which of the following tests would the nurse include in the assessment?
a. Romberg b. Whisper voice c. Otoscopic examination d. Calorie test
During a morning assessment, the nurse notices that the patient's sputum is frothy and pink. Which condition could this finding indicate?
a. Croup b. Tuberculosis c. Viral infection d. Pulmonary edema
The brother of a client who is severely and persistently mentally ill with bipolar disorder asks why
the client has been assigned a case manager. The nurse's reply should cite the major advantage of the use of case management as a. "The case manager can modify traditional psychotherapy for homeless clients.". b. "With one coordinator of services, resources can be more efficiently used.". c. "The case manager can focus on social skills training and esteem building.". d. "The case manager can adjust medication dosage to manage side effects.".
The nurse assesses an area of skin on the patient's upper thigh that is different in appearance than the surrounding skin. What documentation would be the most informative?
a. Red area on upper right thigh. Patient denies discomfort b. Erythematous scaly patch 2 ? 2 cm on lateral aspect of right thigh. Patient denies pain c. Painless red patch on right thigh 2 ? 2 cm d. Medium-size red scaly patch on right thigh. 0 drainage. 0 pain