Tuesday, June 14, 2011

Nursing Review Questions #3

Q : An anxious client enters the emergency room seeking treatment for a laceration of the finger that occurred when using a power tool. The client’s vital signs are pulse 96 beats per minute, blood pressure (BP) 148/88 mmHg, and respirations 24 breaths per minute. After cleansing the injury and reassuring the client, the nurse rechecks the vital signs and notes a pulse of 82 beats per minute, BP 130/80 mmHg, and respirations 20 breaths per minute. The nurse determines that the change in vital signs is caused by:

1. Reduced stimulation of the sympathetic nervous system.

2. The cooling effects of the cleansing solution.                  

3. The body’s physical adaptation to the air conditioning.
               
4. Possible impending cardiovascular collapse.

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