Biology Forums - Study Force

A patient who is hospitalized with a pelvic fracture after a motor vehicle accident just received news that the driver of the car died from multiple injuries.
 
  What actions should the nurse take based on knowledge of the physiologic stress reactions that may occur in this patient (select all that apply)?
  a. Assess for bradycardia.
  b. Ask about epigastric pain.
  c. Observe for decreased appetite.
  d. Check for elevated blood glucose levels.
  e. Monitor for a decrease in respiratory rate.

Question 2

A patient who is taking antiretroviral medication to control human immunodeficiency virus (HIV) infection tells the nurse about feeling mild depression and anxiety.
 
  Which additional information about the patient is most important to communicate to the health care provider?
  a. The patient's blood pressure is 152/88 mm Hg.
  b. The patient uses over-the-counter St. John's wort.
  c. The patient recently experienced the death of a close friend.
  d. The patient expresses anxiety about whether the drugs are effective.

Question 3

A hospitalized patient with diabetes tells the nurse, I don't understand why I can keep my blood sugar under control at home with diet alone, but when I get sick, my blood sugar goes up. This is so frustrating.
 
  Which response by the nurse is most appropriate?
  a. It is probably just coincidental that your blood glucose is higher when you are ill.
  b. Stressors such as illness cause the release of hormones that increase blood glucose.
  c. Increased blood glucose occurs because the liver is not able to metabolize glucose as well during stressful times.
  d. Your diet is different here in the hospital than at home and that is the most likely cause of the increased glucose level.

Question 4

A middle-aged male patient with usually well-controlled hypertension and diabetes visits the clinic. Today he has a blood pressure of 174/94 and a blood glucose level of 190 mg/dL.
 
  What additional patient information may indicate that an intervention by the nurse is needed?
  a. The patient indicates that he usually does blood glucose monitoring several times each day.
  b. The patient states that he usually takes his prescribed antihypertensive medications on a daily basis.
  c. The patient reports that he and his wife are getting divorced and are in a custody battle over their 12-year-old son.
  d. The patient states that the results are related to his family history because both of his parents have high blood pressure and diabetes.

Question 5

The nurse teaches a patient who is experiencing stress at work how to use imagery as a relaxation technique. Which statement by the nurse would be most appropriate?
 
  a. Think of a place where you feel peaceful and comfortable.
  b. Place the stress in your life in an image that you can destroy.
  c. Bring what you hear and sense in your present work environment into your image.
  d. If your work environment is stressful, continue visualizing to overcome the distress.

Question 6

A patient who suffers from frequent migraines tells the nurse, My life feels chaotic and out of my control. I will not be able to manage if anything else happens. Which response should the nurse make initially?
 
  a. Regular exercise may get your mind off the pain.
  b. Guided imagery can be helpful in regaining control.
  c. Tell me more about how your life has been recently.
  d. Your previous coping strategies can be very helpful to you now.

Question 7

A nurse prepares an adult patient with a severe burn injury for a dressing change. The nurse knows that this is a painful procedure and wants to provide music to help the patient relax. Which action is best for the nurse to take?
 
  a. Use music composed by Mozart.
  b. Ask the patient about music preferences.
  c. Select music that has 60 to 80 beats/minute.
  d. Encourage the patient to use music without words.

Content hidden

I hope they're paying you for this :lol:

not really, just a volunteer... and you're welcome ;)