The client has just received news of the death of a relative. ...

[lbcchick]

The client has just received news of the death of a relative. Over the next few hours, what physiologic response should the nurse attribute to the shock phase of the alarm reaction caused by the stress of this event?
 
  1. Drop in blood pressure from 130/80 to 120/75
  2. A more bounding pulse
  3. Slight increase in urine output
  4. Some decrease in oxygen saturation

Question 2

The nurse is engaging in an activity to develop spiritual self-awareness. What activities can aid the nurse in achieving this goal?
 
  1. Write a will.
  2. Complete an advance directives form.
  3. Explore personal end-of-life issues.
  4. Create a personal loss history.
  5. List significant values.

[Amiracle]

Answer to Question 1

Correct Answer: 2
Rationale 1: Blood pressure rises in response to angiotensin production.
Rationale 2: During this shock phase, the sympathetic nervous system is stimulated, resulting in increased myocardial contractility, which would be reflected in the client as a bounding pulse.
Rationale 3: Norepinephrine release decreases blood flow to the kidney, which could make urine output decrease.
Rationale 4: The bronchial tree dilates, allowing more oxygen intake that would result in increased oxygen saturation.

Answer to Question 2

Correct Answer: 3, 4, 5
Rationale 1: Writing a will is not a strategy to develop spiritual self-awareness.
Rationale 2: Completing an advance directives form is not a strategy to develop spiritual self-awareness.
Rationale 3: Exploring personal end-of-life issues is a strategy to develop spiritual self-awareness.
Rationale 4: Creating a personal loss history is a strategy to develop spiritual self-awareness.
Rationale 5: Listing significant values is a strategy to develop spiritual self-awareness.

[lbcchick]

Excellent

[T4T]

TYSM