The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply. (Select All that Apply.)

Increased heart rate

Decrease in urinary bladder muscle tone

Increased blood pressure

Decreased salivation

Decreased bowel sounds

Answer and Explanation

Correct Answer : A,C

A.   Increased heart rate: Sympathetic nervous system stimulation typically leads to increased heart rate as part of the "fight or flight" response.
B.   Decrease in urinary bladder muscle tone: Sympathetic stimulation would typically cause relaxation of the urinary bladder, leading to increased muscle tone.
C.   Increased blood pressure: Sympathetic nervous system activation results in vasoconstriction and increased cardiac output, leading to elevated blood pressure.
D.   Decreased salivation: Sympathetic stimulation can lead to decreased salivation as part of the "fight or flight" response, but it's not a consistent finding.
E.   Decreased bowel sounds: Sympathetic activation can inhibit gastrointestinal motility, leading to decreased bowel sounds, but it's not a universal finding in sympathetic stimulation.

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Correct Answer is ["0.5"]

Explanation

Given:

Dose required = 35 mg

Concentration of medication = 75 mg/mL Formula:

Volume (mL) = Dose required (mg) / Concentration of medication (mg/mL) Calculation:

Volume (mL) = 35 mg / 75 mg/mL Result:

Volume (mL) = 0.4666667 mL Rounded to the nearest tenth:

Volume (mL) ≈ 0.5 mL

A. "Increase the dosage to twice daily." B. "Take the medication on an empty stomach for Improved absorption." C. "It takes time for the cure to take effect." D. "It may take up to 6 weeks to see an improvement."

Correct Answer is D

Explanation

A. "Increase the dosage to twice daily.": Changing the dosage should only be done under the guidance of the prescriber based on clinical assessment, not in response to perceived lack of improvement.
B. "Take the medication on an empty stomach for improved absorption.": While taking donepezil with or without food may affect absorption, this instruction is not directly related to the timing of improvement in symptoms.
C. "It takes time for the cure to take effect.": Alzheimer's disease cannot be cured, and this statement may provide false hope to the patient's daughter.
D. "It may take up to 6 weeks to see an improvement.": This response provides accurate

information about the expected timeline for therapeutic effects of donepezil and encourages patience in observing improvement.

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The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply. (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer meperidine 35 mg IM to a client every 6 hr PRN for pain. Available is meperidine injection 75 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

A patient has been taking donepezil for 2 weeks as part of the treatment for early stages of Alzheimer's disease. Her daughter calls the prescriber's office and is upset because "Mother has not improved one bit!" Which response by the nurse is appropriate?

Correct Answer is D

Explanation

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