Why is acute pain particularly dangerous for a patient having a heart attack?
Release of prostaglandins lowers the patient’s heart rate and blood pressure.
Release of substance P narrows the airways and leads to hypoxemia.
Release of endorphins causes dangerous elevation of blood pressure.
Stimulation of the sympathetic nervous system will increase cardiac workload.
The Correct Answer is D
Choice A reason: This is an incorrect choice because release of prostaglandins lowers the patient’s heart rate and blood pressure is not a reason why acute pain is particularly dangerous for a patient having a heart attack. Prostaglandins are inflammatory mediators that are involved in pain perception and modulation, but they do not have a direct effect on the heart rate and blood pressure. In fact, some prostaglandins may have a protective role in the cardiovascular system by preventing platelet aggregation and vasodilation.
Choice B reason: This is an incorrect choice because release of substance P narrows the airways and leads to hypoxemia is not a reason why acute pain is particularly dangerous for a patient having a heart attack. Substance P is a neuropeptide that is involved in pain transmission and modulation, but it does not have a significant effect on the airways or the oxygen level. Substance P may cause bronchoconstriction in some patients with asthma or chronic obstructive pulmonary disease, but this is not a common or serious complication of acute pain.
Choice C reason: This is an incorrect choice because release of endorphins causes dangerous elevation of blood pressure is not a reason why acute pain is particularly dangerous for a patient having a heart attack. Endorphins are endogenous opioids that are involved in pain inhibition and modulation, but they do not have a major effect on the blood pressure. Endorphins may cause a slight increase in blood pressure by activating the opioid receptors in the brainstem, but this is not a significant or harmful response to acute pain.
Choice D reason: This is the correct choice because stimulation of the sympathetic nervous system will increase cardiac workload is a reason why acute pain is particularly dangerous for a patient having a heart attack. The sympathetic nervous system is part of the autonomic nervous system that is responsible for the fight-or-flight response, which is triggered by acute pain. The sympathetic nervous system will increase the heart rate, blood pressure, and cardiac contractility, which will increase the oxygen demand and consumption of the heart. This will worsen the ischemia and injury of the myocardium, and may lead to arrhythmias, heart failure, or cardiac arrest.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is incorrect. Total urinary incontinence related to inability to feel urge to urinate is not appropriate for a patient with xerostomia. Xerostomia is the condition of having a dry mouth due to reduced or absent saliva production. It does not affect the urinary system or the sensation of bladder fullness.
Choice B reason: This is correct. Impaired oral mucous membranes related to decreased salivation and dry mouth is appropriate for a patient with xerostomia. Xerostomia can cause oral mucous membranes to become dry, cracked, inflamed, or infected. It can also affect the patient's ability to chew, swallow, speak, or taste.
Choice C reason: This is incorrect. Bathing self-care deficit related to inability to perceive left-sided body parts is not appropriate for a patient with xerostomia. Xerostomia does not affect the patient's perception of body parts or the ability to perform bathing activities.
Choice D reason: This is incorrect. Disturbed sensory perception related to feeling of electric pain in feet and hands is not appropriate for a patient with xerostomia. Xerostomia does not cause electric pain in the extremities. This symptom may be related to a nerve disorder, such as peripheral neuropathy.
Correct Answer is A
Explanation
Choice A reason: This is correct. Unilateral neglect is a condition where the patient fails to attend to or respond to stimuli on the opposite side of the brain lesion. It can affect the patient's perception, attention, memory, and motor function. It can also impair the patient's safety, self-care, and quality of life. The patient may not recognize the existence of the paralyzed limbs, ignore them, or deny their ownership.
Choice B reason: This is incorrect. Ineffective denial is a condition where the patient consciously or unconsciously refuses to acknowledge the reality of a situation that is too threatening or overwhelming. It can interfere with the patient's coping and adaptation. The patient may reject the diagnosis, prognosis, or treatment of the condition. However, this is not the case for the patient with unilateral neglect, who is not aware of the paralysis, rather than refusing to accept it.
Choice C reason: This is incorrect. Deficient knowledge is a condition where the patient lacks or misinterprets information about a topic related to health or illness. It can affect the patient's decision-making, compliance, and outcomes. The patient may have inaccurate or incomplete understanding of the causes, consequences, or management of the condition. However, this is not the main problem for the patient with unilateral neglect, who is not able to process or attend to the information, rather than lacking it.
Choice D reason: This is incorrect. Noncompliance is a condition where the patient does not or is unable to follow the prescribed or agreed-upon plan of care. It can result from various factors, such as lack of motivation, resources, support, or understanding. The patient may not adhere to the recommendations, instructions, or goals of the treatment. However, this is not the primary issue for the patient with unilateral neglect, who is not capable of performing the tasks, rather than unwilling to do so.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.