Author Question: Which of the following is part of the fight-or-flight response? a. Decreased heart rate b. ... (Read 56 times)

D2AR0N · **on:** Jul 22, 2018

Which of the following is part of the fight-or-flight response?

a. Decreased heart rate
b. Increased respiratory rate
c. Decreased blood pressure
d. Elevated temperature

Question 2

Which of the following is a nursing intervention?

a. The patient will ambulate in the hallway twice this shift using crutches correctly.
b. Impaired physical mobility related to inability to bear weight on right leg
c. Provide assistance while the patient walks in the hallway twice this shift with crutches.
d. The patient is unable to bear weight on right lower extremity.

bookworm410 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
The fight-or-flight response includes increased respiratory rate, increased heart rate, and in-creased blood pressure.
In the fight-or-flight response, there is increased heart rate.
In the fight-or-flight response, there is increased arterial blood pressure.
In the fight-or-flight response, there is no relevant change in temperature.

Answer to Question 2

C
Providing assistance to a patient who is ambulating is a nursing intervention. The statement, The patient will ambulate in the hallway twice this shift using crutches correctly is a patient goal. Impaired physical mobility is a nursing diagnosis. The statement that the patient is unable to bear weight and ambulate can be included with assessment data and is a defining characteristic for the diagnosis of Impaired physical mobility.