Sympathetic nervous system (SNS) activation can change these body functions except:
Increase heart rate
Increase blood glucose
Increase GI motility and movement
Increase blood pressure
The Correct Answer is C
Choice A Reason:
The sympathetic nervous system (SNS) is responsible for the “fight or flight” response, which prepares the body to respond to perceived threats. One of the primary effects of SNS activation is an increase in heart rate. This is achieved through the release of catecholamines like adrenaline, which stimulate the heart to pump more blood to vital organs and muscles.
Choice B Reason:
Another effect of SNS activation is an increase in blood glucose levels. This occurs because the body needs more energy to respond to stress. The SNS stimulates the liver to release glucose into the bloodstream, ensuring that muscles and other tissues have enough energy to function effectively during a stressful situation.
Choice C Reason:
The correct answer is that SNS activation does not increase GI motility and movement. In fact, it has the opposite effect. During a “fight or flight” response, the body prioritizes functions that are critical for immediate survival, such as increased heart rate and blood flow to muscles. As a result, non-essential functions like digestion are slowed down. The SNS decreases GI motility and movement to divert energy and blood flow to more critical areas.
Choice D Reason:
SNS activation also leads to an increase in blood pressure. This is achieved by constricting blood vessels and increasing the force of heart contractions. The purpose of this response is to ensure that enough blood and oxygen are delivered to essential organs and muscles during a stressful situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A: Alkalosis
Alkalosis refers to a condition where the blood pH is higher than the normal range (above 7.45). In this case, the pH is 7.25, which indicates an acidic environment rather than an alkaline one. Therefore, alkalosis is not the correct answer.
Choice B: Respiratory
Respiratory acidosis or alkalosis is determined by the levels of PaCO2. In respiratory acidosis, PaCO2 is elevated, while in respiratory alkalosis, PaCO2 is decreased. Here, the PaCO2 is 20 mm Hg, which is below the normal range, indicating a respiratory component. However, the primary issue is not respiratory because the HCO3- is also significantly low, pointing towards a metabolic cause.
Choice C: Metabolic
Metabolic acidosis is characterized by a low pH and a low HCO3- level. In this case, the pH is 7.25, and the HCO3- is 10 mEq/L, both of which are below the normal ranges. This indicates that the primary acid-base imbalance is metabolic acidosis.
Choice D: Acidosis
Acidosis refers to a condition where the blood pH is lower than the normal range (below 7.35). The given pH of 7.25 confirms that the patient is experiencing acidosis. However, this choice alone does not specify whether it is metabolic or respiratory acidosis.
Choice E: With Compensation (Being Compensated)
Compensation refers to the body’s attempt to return the pH to normal by adjusting the levels of PaCO2 or HCO3-. In this case, the low PaCO2 suggests that there is a respiratory compensation for the metabolic acidosis. However, the primary imbalance remains metabolic acidosis.
Correct Answer is D
Explanation
Choice A Reason:
Administering the drug at intervals longer than the drug half-life is not typically recommended for medications with a narrow therapeutic range. These drugs require precise dosing to maintain therapeutic levels without reaching toxic levels. Extending the dosing interval could lead to subtherapeutic levels, reducing the drug’s effectiveness.
Choice B Reason:
Teaching the patient that maximum drug effects will occur within a short period is not specific to drugs with a narrow therapeutic range. While some medications may have rapid onset of action, the critical aspect of narrow therapeutic range drugs is maintaining consistent blood levels to avoid toxicity or subtherapeutic effects.
Choice C Reason:
Administering the medication intravenously is not a requirement for all drugs with a narrow therapeutic range. While IV administration can provide precise control over drug levels, many narrow therapeutic range drugs can be administered orally or through other routes. The key is monitoring and adjusting the dose based on blood levels.
Choice D Reason:
Ordering lab tests to check blood drug levels is essential for managing medications with a narrow therapeutic range. These drugs have a small margin between therapeutic and toxic doses, so regular monitoring of blood levels helps ensure the drug remains within the safe and effective range. This practice is known as therapeutic drug monitoring (TDM) and is crucial for drugs like warfarin, phenytoin, and digoxin.
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