A young woman, who lives alone, comes home at night to find a man in her apartment. What body responses would be expected for this young woman?
decreased sweating, decreased BP, and increased heart rate
Increased sweating, decreased respiratory rate, and increased BP
Pupil constriction, increased respiratory rate, and decreased heart rate
Increased blood pressure, increased heart rate, and pupil dilation
The Correct Answer is D
A) Decreased sweating, decreased BP, and increased heart rate: This combination does not reflect a typical stress response. In stressful or threatening situations, the body activates the sympathetic nervous system, leading to increased sweating, elevated blood pressure, and other physiological changes, rather than a decrease in blood pressure.
B) Increased sweating, decreased respiratory rate, and increased BP: In a stressful situation, sweating would indeed increase due to the activation of the sympathetic nervous system. However, the respiratory rate would typically increase, not decrease, as the body prepares for the "fight or flight" response. Increased blood pressure is expected, but decreased respiratory rate does not align with this response.
C) Pupil constriction, increased respiratory rate, and decreased heart rate: Pupil constriction is not characteristic of the "fight or flight" response; instead, pupil dilation occurs as part of the body's preparation to react to a threat. Increased respiratory rate and heart rate are typically seen during stress, but decreased heart rate would not be expected in such a situation.
D) Increased blood pressure, increased heart rate, and pupil dilation: This is the correct response. When faced with a threatening situation, the body activates the sympathetic nervous system, triggering the "fight or flight" response. This includes increased blood pressure and heart rate to prepare the body for action, as well as pupil dilation (mydriasis) to enhance vision and perception of the environment. These changes help the body respond quickly to a perceived danger.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Norepinephrine: Norepinephrine is a potent vasoconstrictor primarily used in cases of shock to increase blood pressure by constricting blood vessels. However, it does not have a vasodilatory effect on renal blood vessels. Instead, it tends to decrease renal perfusion due to its strong vasoconstrictor properties, which could worsen renal insufficiency.
B) Dopamine: Dopamine is a catecholamine that has a dose-dependent effect on various receptors. At low doses, dopamine specifically acts on dopaminergic receptors in the kidneys, leading to vasodilation of renal blood vessels, which can improve renal perfusion. This makes it particularly useful in treating shock when there is concern about renal insufficiency or reduced kidney function.
C) Acetylcholine: Acetylcholine is a neurotransmitter of the parasympathetic nervous system, not a catecholamine. It is involved in promoting various physiological effects such as slowing the heart rate and stimulating digestive processes, but it does not have a specific role in vasodilation of renal blood vessels or shock management.
D) Enkephalin: Enkephalins are endogenous peptides involved in the regulation of pain and stress responses. They do not have a direct effect on vasodilation of renal blood vessels. Enkephalins are not typically used to treat shock or manage renal insufficiency.
Correct Answer is ["A","C","E","F"]
Explanation
A) Bradycardia: Bradycardia is a common symptom of a cholinergic crisis. It results from excessive acetylcholine at the neuromuscular junction, which can overstimulate the parasympathetic nervous system, leading to a decrease in heart rate.
B) Rash: A rash is not a typical symptom of a cholinergic crisis. Rash might occur as a side effect of medications or other conditions, but it is not a hallmark feature of a cholinergic crisis in myasthenia gravis.
C) Vomiting: Vomiting is a potential symptom of a cholinergic crisis. It occurs due to the excessive stimulation of the parasympathetic nervous system, which can cause gastrointestinal distress and nausea.
D) Fever: Fever is not typically associated with a cholinergic crisis, but it can occur if there is an underlying infection or other condition. A cholinergic crisis itself usually leads to symptoms like weakness and excessive salivation, not fever.
E) Weakness: Weakness is a hallmark symptom of a cholinergic crisis, as it results from overstimulation at the neuromuscular junction, leading to muscle fatigue and paralysis. This is similar to the symptoms of myasthenia gravis, but in a cholinergic crisis, the weakness is more profound.
F) Drooling: Drooling is another common symptom of a cholinergic crisis. Excessive acetylcholine can lead to excessive salivation due to overstimulation of the parasympathetic nervous system.
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