A nurse is teaching a class about the general adaptive syndrome. The nurse should include that which of the following manifestations occurs during the exhaustion stage?

Blood glucose levels return to the expected reference range.

Blood pressure increases.

Depression

Dilation of pupils

Answer and Explanation

The Correct Answer is C

A. Blood glucose levels return to the expected reference range. Blood glucose levels are more likely to be elevated due to prolonged stress during the exhaustion stage, not normalized.

B. Blood pressure increases. During the exhaustion stage, the body's resources are depleted, and blood pressure may drop rather than increase.

C. Depression: The exhaustion stage is characterized by physical and psychological symptoms such as depression, fatigue, and reduced immune function.

D. Dilation of pupils: Pupil dilation occurs during the alarm stage of the general adaptation syndrome, not during the exhaustion stage.

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Correct Answer is B

Explanation

A. Dilute each medication with 10 mL of tap water. Typically sterile or distilled water is preferred for diluting medications to reduce the risk of infection.

B. Flush the NG feeding tube with 30 mL of water immediately following medication administration. Flushing the tube before and after medication administration helps ensure the tube remains patent and the medication is fully delivered.

C. Maintain the head of the bed in a flat position for 30 minutes following medication administration. The head of the bed should be elevated to at least 30-45 degrees to prevent aspiration during and after medication administration.

D. Mix the three medications together prior to administering. Medications should not be mixed together unless compatibility has been confirmed, as mixing can cause interactions or blockages in the tube.

A. Crackles upon auscultation B. Urine-specific gravity greater than 1.030 C. Swelling at the IV site D. Bounding pulse E. Pitting edema

Correct Answer is ["A","D","E"]

Explanation

A. Crackles upon auscultation: Crackles in the lungs can indicate fluid overload, leading to pulmonary edema.

B. Urine-specific gravity greater than 1.030: A urine-specific gravity greater than 1.030 typically indicates dehydration, not fluid volume excess.

C. Swelling at the IV site: Swelling at the IV site usually indicates infiltration or phlebitis, not necessarily fluid volume excess.

D. Bounding pulse: A bounding pulse is a sign of increased blood volume and can indicate fluid overload.

E. Pitting edema: Pitting edema is a common sign of fluid volume excess, particularly in the extremities.

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A nurse is teaching a class about the general adaptive syndrome. The nurse should include that which of the following manifestations occurs during the exhaustion stage?

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