After administering a medication that stimulates the sympathetic division of the autonomic nervous system, the nurse assesses the patient. For which clinical manifestations would the nurse assess?
Decreased level of consciousness
Increased force of cardiac contraction
Decreased respiratory rate
Decreased blood pressure
The Correct Answer is B
Choice A reason: A decreased level of consciousness is not expected with sympathetic stimulation. Instead, sympathetic activation increases alertness and readiness for action. A reduction in consciousness would suggest adverse effects or another underlying condition, not the expected pharmacological response.
Choice B reason: Increased force of cardiac contraction is a hallmark of sympathetic nervous system stimulation. Sympathetic activation increases myocardial contractility and heart rate through catecholamine release, preparing the body for “fight or flight.” This is the correct expected manifestation.
Choice C reason: A decreased respiratory rate is not consistent with sympathetic stimulation. Instead, sympathetic activation typically increases respiratory rate to enhance oxygen delivery to tissues during stress or activity. A decrease would suggest depression of the respiratory system, which is more aligned with parasympathetic activity.
Choice D reason: Decreased blood pressure is not expected with sympathetic stimulation. Sympathetic activation causes vasoconstriction and increased cardiac output, leading to elevated blood pressure. A decrease would indicate parasympathetic dominance or circulatory collapse, not the intended effect of the medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A client with renal failure and a hemoglobin of 9.2 g/dL has anemia, which is common in chronic kidney disease due to reduced erythropoietin production. While this requires monitoring and treatment, it is not immediately life-threatening. The client is stable enough to be seen after more urgent cases are addressed.
Choice B reason: An older adult with a urinary tract infection who becomes confused is experiencing acute delirium, which is concerning and requires prompt evaluation. However, while confusion can lead to safety risks and indicates infection progression, it is not as immediately life-threatening as airway obstruction.
Choice C reason: A client with upper extremity trauma awaiting X-ray is stable. Trauma to the arm may cause pain, swelling, or possible fracture, but it does not compromise airway, breathing, or circulation. This client can safely wait until more critical patients are stabilized.
Choice D reason: Inspiratory stridor while eating indicates acute airway obstruction, likely due to aspiration or choking. This is a medical emergency because airway compromise can rapidly progress to respiratory failure and death if not addressed immediately. The nurse must prioritize this client first to secure the airway and restore adequate ventilation.
Correct Answer is C
Explanation
Choice A reason: 0.5 tsp is equivalent to 2.5 mL because 1 teaspoon equals 5 mL. If the client were instructed to take only 0.5 tsp, they would receive only 2.5 mL of the prescribed 10 mL dose. This would result in significant underdosing, which could lead to ineffective treatment of the infection and contribute to antibiotic resistance. Therefore, this option is incorrect.
Choice B reason: 1 tsp equals 5 mL. If the client were instructed to take 1 tsp, they would only receive half of the prescribed 10 mL dose. This underdosing would not achieve therapeutic levels of the antibiotic in the bloodstream, leading to poor infection control and possible worsening of the condition. Thus, this option is also incorrect.
Choice C reason: 2 tsp equals 10 mL because 1 teaspoon is 5 mL and multiplying 5 mL × 2 = 10 mL. This matches the exact prescribed dose of amoxicillin. Administering the correct dose ensures therapeutic effectiveness, eradication of the infection, and prevention of antibiotic resistance. This is the correct answer.
Choice D reason: 3 tsp equals 15 mL. If the client were instructed to take 3 tsp, they would receive 5 mL more than the prescribed dose. This overdosing could increase the risk of side effects such as gastrointestinal upset, diarrhea, or allergic reactions. Overdosing antibiotics also increases the risk of toxicity and is not safe. Therefore, this option is incorrect.
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