MEDICAL SURGICAL NURSING ASSESSMENT AND MANAGEMENT OF CLINICAL PROBLEMS, 10TH EDITION
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Medical surgical nursing
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Medical Surgical Nursing
Chapter 06: Stress and Stress Management
Lewis: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. An adult patient who arrived at the triage desk in the emergency department (ED) with minor facial lacerations
after a motor vehicle accident has a blood pressure (BP) of 182/94. Which act...
medical surgical nursing assessment and management of clinical problems
chapter 06 stress and stress management lewis medical surgical nursing
10th edition multiple choice 1 an adu
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SURGICAL NURSING ASSESSMENT
AND MANAGEMENT OF CLINICAL PROBLEMS,
10TH EDITION
Description
Medical-Surgical Nursing-
Assessment and Management of
Clinical Problems,10th Edition by
Sharon L. Lewis, Shannon Ruff
Dirksen, Margaret McLean
Heitkemper Test Bank
Chapter 06: Stress and Stress Management
Lewis: Medical-Surgical Nursing, 10th Edition
MULTIPLE CHOICE
1. An adult patient who arrived at the triage desk in the emergency department (ED) with minor facial lacerations
after a motor vehicle accident has a blood pressure (BP) of 182/94. Which action by the nurse is appropriate?
a. Start an IV line to administer antihypertensive medications.
b. Recheck the blood pressure after the patient has been assessed.
c. Discuss the need for hospital admission to control blood pressure.
d. Teach the patient about the stroke risk associated with uncontrolled hypertension.
This study source was downloaded by 100000841341657 from CourseHero.com on 04-02-2022 04:40:24 GMT -05:00
When a patient experiences an acute stressor, the BP increases. The nurse should plan to recheck the BP after the patient
has stabilized and received treatment. This will provide a more accurate indication of the patient’s usual blood pressure.
Elevated BP that occurs in response to acute stress does not increase the risk for health problems such as stroke, indicate a
need for hospitalization, or indicate a need for IV antihypertensive medications.
2. A female patient who initially came to the clinic with incontinence was recently diagnosed with endometrial
cancer. She is usually well organized and calm, but the nurse who is giving her preoperative instructions observes
that the patient is irritable, has difficulty concentrating, and yells at her husband. Which action should the nurse
take?
a. Ask the health care provider for a psychiatric referral.
b. Focus teaching on preventing postoperative complications.
c. Try to calm the patient before repeating any information about the surgery.
d. Encourage the patient to combine the hysterectomy with surgery for bladder repair.
ANS: C
Because behavioral responses to stress include temporary changes such as irritability, changes in memory, and poor
concentration, patient teaching will need to be repeated. It is also important to try to calm the patient by listening to her
concerns and fears. Psychiatric referral will not necessarily be needed for her but that can better be evaluated after
surgery. Focusing on postoperative care does not address the need for preoperative instruction such as the procedure, NPO
instructions before surgery, date and time of surgery, medications to be taken or discontinued before surgery, and so on.
The issue of incontinence is not immediately relevant in the discussion of preoperative teaching for her hysterectomy.
3. An adult patient who is hospitalized after a motorcycle crash tells the nurse, “I didn’t sleep last night because I
worried about missing work at my new job and losing my insurance coverage.” Which nursing diagnosis is
appropriate to include in the plan of care?
a. Anxiety c. Ineffective denial
b. Defensive coping d. Risk prone health behavior
This study source was downloaded by 100000841341657 from CourseHero.com on 04-02-2022 04:40:24 GMT -05:00
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