Which of the following responses indicates sympathetic nervous system activation?

Tachycardia, dilated pupils

Pupil constriction, bronchoconstriction

Increased peristalsis, abdominal cramping

Hypoglycemia, headache

Answer and Explanation

The Correct Answer is A

A. The sympathetic nervous system is responsible for the "fight or flight" response. This response includes tachycardia (increased heart rate) and dilated pupils (mydriasis), both of which are common physiological changes during sympathetic activation.

B. Pupil constriction and bronchoconstriction are associated with the parasympathetic nervous system, which is responsible for the "rest and digest" functions.

C. Increased peristalsis and abdominal cramping are also associated with the parasympathetic nervous system, as it promotes digestion and relaxation of the body.

D. Hypoglycemia and headache are not direct indicators of sympathetic activation. Hypoglycemia can occur for various reasons, and headaches can be caused by multiple factors, but they are not specific signs of sympathetic nervous system activation.

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Correct Answer is B

Explanation

A. Placing items on the left side would not be appropriate for a patient with a right-sided weakness (hemiparesis) due to a left-sided ischemic stroke. This would make it harder for the patient to reach the items.

B. Placing items on the right side of the patient is the best option. Since the patient has weakness on the right side, they would have better access to items placed on the unaffected side (left side of the body).

C. Placing items directly in front of the patient could be helpful, but it depends on the severity of the stroke and the patient's ability to move and reach forward. It may not be as effective if the patient has limited mobility.

D. Placing items where the patient wants is a good practice, but the nurse should ensure the placement is practical for the patient's abilities. It is more important to place items on the right side to optimize access.

A. Blood pressure cuff B. Pen light C. Thermometer D. Stethoscope

Correct Answer is B

Explanation

A. A blood pressure cuff is not directly needed to assess neurological status. While blood pressure is important to monitor in neurological assessments, it is not the primary tool used for assessing neurological function.

B. A pen light is essential for assessing pupil reaction, which is a key part of a neurological exam. The nurse can use the pen light to check for pupil dilation, constriction, and reaction to light, which are important indicators of brain function.

C. A thermometer is useful for measuring body temperature but is not a primary tool for assessing neurological status. Although fever can be a sign of infection affecting the brain, it is not part of the basic neurological exam.

D. A stethoscope is useful for listening to heart and lung sounds, but it is not typically used for assessing neurological function. The pen light is the more appropriate tool for this purpose.

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Which of the following responses indicates sympathetic nervous system activation?

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