Author Question: A client is informed of the need for surgery to correct a potentially life-threatening health ... (Read 60 times)

berenicecastro · **on:** Jul 23, 2018

A client is informed of the need for surgery to correct a potentially life-threatening health problem. Afterward, the nurse determines that the client is experiencing physiological indicators of stress because what was assessed?

1. Dilated pupils.
2. Diaphoretic.
3. Tachycardia.
4. Flaccid muscle tone.
5. Excessive oral secretions.

Question 2

The nurse identifies that a client is experiencing the resistance stage of the general adaption syndrome when what is assessed?

1. Client is unable to focus on activities and events.
2. Client is exhausted, and spends time sleeping.
3. Localized swelling and inflammation of a leg wound.
4. Capillary blood glucose level 180 mg/dL.

kishoreddi · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: Pupils dilate to increase visual perception when serious threats to the body arise.
Rationale 2: Sweat production or diaphoresis increases to control elevated body heat due to increased metabolism.
Rationale 3: The heart rate increases to transport nutrients and by-products of metabolism more efficiently.
Rationale 4: Muscle tension increases to prepare for rapid motor activity or defense.
Rationale 5: The mouth might be dry, and would not have an increase in oral secretions.

Answer to Question 2

Correct Answer: 3
Rationale 1: The client's inability to focus on activities and events is not a characteristic of the resistance stage of the general adaption syndrome.
Rationale 2: The client's being exhausted and sleeping are characteristics of the stage of exhaustion within the general adaption syndrome.
Rationale 3: In the second stage in the general adaption syndrome, the stage of resistance is when the body's adaption takes place. 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, such as with localized swelling and inflammation of a leg wound.
Rationale 4: An elevated capillary blood glucose level is a finding associated with the alarm stage of the general adaption syndrome.