The nurse is assessing a patient with nausea and vomiting. Which additional autonomic symptoms that often accompany vomiting will the nurse observe?
Bradycardia, diarrhea, and flushing
Urinary urgency, chills, and dizziness
Pallor, sweating, and tachycardia
Fever, hyperventilation, and bradycardia
The Correct Answer is C
A. Bradycardia, diarrhea, and flushing: Bradycardia is not typically associated with vomiting. Diarrhea is not a direct autonomic symptom of vomiting either.
B. Urinary urgency, chills, and dizziness: These symptoms are not typical of vomiting-related autonomic symptoms.
C. Pallor, sweating, and tachycardia: Pallor, sweating, and tachycardia are common autonomic responses to vomiting due to the body's stress response.
D. Fever, hyperventilation, and bradycardia: Fever and hyperventilation are not typically seen with vomiting. Bradycardia is less common in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Mucositis: This refers to painful inflammation and ulceration of the mucous membranes, often without plaques.
B. Canker sores: These are small, shallow ulcers with a yellowish center and red border, not white plaques.
C. Thrush: Thrush is an oral fungal infection (caused by Candida albicans) characterized by white, milk-curd-like plaques on the mucosa.
D. Cold sores: Cold sores are caused by herpes simplex virus and appear as blisters, not white plaques.
Correct Answer is B
Explanation
A. Fats: Restricting fats is not typically indicated in cirrhosis, unless the patient has specific issues like gallbladder disease or pancreatitis.
B. Protein: When ammonia levels rise in cirrhosis (leading to hepatic encephalopathy), restricting protein intake can help reduce the production of ammonia, as proteins are broken down into ammonia in the body.
C. Carbohydrates: Carbohydrates are generally not restricted in cirrhosis. They are important for energy, especially in patients with liver disease.
D. Water-soluble vitamins: There is no need to restrict water-soluble vitamins in cirrhosis unless there is a specific deficiency or malabsorption.
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