Which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient? (Select all that apply.)
a. Assess for bradycardia.
b. Ask about epigastric pain.
c. Observe for increased appetite.
d. Check for elevated blood glucose levels.
e. Monitor for a decrease in respiratory rate.
ANS: B, C, D
The physiologic changes associated with the acute stress response can cause changes in appetite, increased gastric acid secretion, and elevation of blood glucose levels. Stress causes an increase in the respiratory and heart rates.
You might also like to view...
Your depressed patient is starting a new medication called phenelzine (Nardil). Which teaching would be most important to emphasize?
A. Educate the patient to take this medication ongoing, even as symptoms improve. B. Instruct the patient and family about the many food-drug interactions. C. Instruct the patient about interventions to relieve dry mouth. D. Inform the patient that this medication takes 4 to 6 weeks to take full effect.
An adult patient recently diagnosed with cancer states, "I've lived my life according to the Bible. I don't understand why God has forsaken me." Which nursing diagnosis applies?
a. Hopelessness b. Spiritual distress c. Spiritual dysfunction d. Disturbed thought processes
The population health nurse is planning a month-long series related to healthy lifestyles. Some of the most relevant topics should include: (Select all that apply.)
1. Diet. 2. Exercise. 3. Pharmacotherapy. 4. End-of-life care. 5. Coping skills.
This nurse is instructing a patient with chronic retention of carbon dioxide. Which of the following should be included in these instructs?
1. breathe into a paper bag if anxiety or restlessness occurs 2. eat a moderate fat, low-protein diet 3. decrease carbohydrate intake 4. limit the amount of fluids taken daily