After sustaining injuries in a motor vehicle accident, a patient ...

[crobinson2013]

After sustaining injuries in a motor vehicle accident, a patient experiences a decrease in blood pressure and an increase in heart rate and respiratory rate despite surgical intervention and fluid resuscitation.
 
  Which stage of the general adaptation syndrome is the patient most likely experiencing?
  a. Alarm
  b. Resistance
  c. Exhaustion
  d. Recovery

Question 2

The nurse reviews the patient chart and sees a physician prescription for a new medication. The nurse is able to clearly read the medication name but the dose is not legible. What is the best action by the nurse?
 
  a. Contact the physician for clarification.
  b. Ask another nurse to read the order.
  c. Ask the unit secretary to read the order.
  d. Contact the pharmacist to read the order.

[TheNamesImani]

Answer to Question 1

C
Physiological responses in the exhaustion stage include low blood pressure and high respiratory and heart rates. During the alarm stage, heart rate and blood pressure both increase. In the resistance stage, the body tries to maintain homeostasis; blood pressure and heart rate normalize. If adaptation is successful, recovery takes place.

Answer to Question 2

A
As a nurse, you are obligated ethically and legally to clarify or question orders that you believe to be unclear, incorrect, or inappropriate. In this case, the nurse should contact the physician to clarify the order, as it is not legible. It is inappropriate to ask the secretary or another nurse to read the order as they may read it incorrectly.

[crobinson2013]

Excellent

[ktidd]

TYSM