Which of the following patients, when faced with acute stressful ...

[Tirant22]

Which of the following patients, when faced with acute stressful situations, would be considered at highest risk for becoming noncompliant with their medication regimen?
 
  A)
  End-stage renal failure patient experiencing electrolyte imbalances related to having trouble sticking to his prescribed diet
  B)
  Teenager whose period is late by 2 weeks and afraid to tell her parents
  C)
  Paraplegic patient who forgot his pressure control device and has a small decubitus on his coccyx
  D)
  New mother who is breast-feeding every 2 to 3 hours throughout the day and night.

Question 2

A family consumed some undercooked hamburger at a picnic and has since developed bloody diarrhea. The nurse knows which of the following statements listed below is correct regarding the infectious process?
 
  A)
  Evasive factors that become more virulent by evading parts of the host's immune system
  B)
  Exotoxins that damage vascular endothelium causing bleeding and low platelet counts
  C)
  Adhesion factors that can anchor a pathogen firmly to the host tissue surfaces
  D)
  Invasive factors capable of destroying the cell membrane by utilization of enzymes

[mrphibs]

Answer to Question 1

Ans:
A

Feedback:

For people with health problems (like ESRD patients), acute stress can interrupt compliance with medication regimens and exercise programs.

Answer to Question 2

Ans:
B

Feedback:

Exotoxins can allow organisms to produce hemorrhagic colitis, which can be fatal. It is characterized by vascular endothelial damage, acute RF, and thrombocytopenia (low platelet counts). Toxic cell walls are classified as endotoxins. The ability to survive immune responses characterizes evasive factors. Adhesion factors and invasive factors are not involved in this situation.