An adult who was in a motor vehicle accident is brought into the ...

[lak]

An adult who was in a motor vehicle accident is brought into the emergency department by paramedics, who report the following in-transit vital signs:
 
  Oral temperature: 99.0 F
  Pulse: 102 beats per minute
  Respiratory rate: 26 breaths per minute
  Blood pressure: 140/106
  The nurse can identify that which hormones are the likely causes of the abnormal vital signs?
  a. ADH and ACTH
  b. ACTH and epinephrine
  c. ADH and norepinephrine
  d. Epinephrine and norepinephrine

Question 2

After visiting with the client, the nurse documents the assessment data. Both objective and subjective information have been obtained during the assessment. Which one of the following is classified as subjective data?
 
  a. Client appears sleepy
  b. No physical distress noted
  c. Abdomen soft and non-tender
  d. States feels anxious and tense

[wilsonbho]

Answer to Question 1

D
Epinephrine and norepinephrine are catecholamine hormones secreted by the adrenal medulla that rapidly elevate heart rate and blood pressure. ACTH originates from the anterior pituitary gland and stimulates cortisol release; ADH originates from the posterior pituitary and increases renal reabsorption of water. ACTH, cortisol, and ADH do not increase heart rate.

Answer to Question 2

D
Subjective data are clients' perceptions about their health problems. Feeling anxious and tense is information that only the client can provide. Objective data are observations or measurements made by the data collector.
In the example, Client appears sleepy, the data collector is making the observation that the client appears sleepy.
No physical distress noted is an example of objective data because it is an observation made by the data collector.
Abdomen soft and non-tender is an example of objective data because it is an observation made by the data collector, not a client's perception.

[lak]

Excellent

[dyrone]

TYSM