Author Question: The client is under immediate stress. The nurse assesses which sign as an effect of the sympathetic ... (Read 26 times)

xroflmao · **on:** Jul 23, 2018

The client is under immediate stress. The nurse assesses which sign as an effect of the sympathetic system?

A) Blood sugar of 65 mg/dL
B) Heart rate of 102 beats/minute
C) Increased bowel sounds
D) Cool, clammy skin

Question 2

A client has been brought to the health care facility with accident-related injuries. During the initial interview, the client becomes agitated, upset and is unable to answer any more of the nurse's questions.

What does the nurse conclude about the condition of the client?

A) The client's mind is preparing for a fight-or-flight response as he relates the incident.
B) The client's mind is numb, and he is not able to react to further questions from the nurse.
C) The brain is receiving less oxygen with each passing minute, which does not allow him to speak.
D) The brain is sending chemicals to the bloodstream that make the client afraid of the questions.

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

Answer to Question 1

Ans: B
When stressed, the client's sympathetic system is activated, which causes an increase in heart rate. The sympathetic system also stimulates release of glycogen, which increases blood glucose levels and dilates skeletal muscle blood vessels. This would most likely cause warm skin. The parasympathetic system, which functions under normal conditions and at rest, stimulates secretion of digestive juices and the smooth muscle of the digestive tract, thus leading to increased peristalsis.

Answer to Question 2

Ans: A
The client is currently in the alarm stage, where the stimulating neurotransmitters and neurohormones are released, which prepare the client for a fight-or-flight response. The brain, at this time, receives more oxygen to sharpen the senses and coordination. The brain also sends more chemicals to the bloodstream, which helps the client to keep alert for an extended period of time.