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 A

Explanation

A. Reflex incontinence: Reflex incontinence occurs when the bladder muscle contracts and urine leaks out (often in large amounts) without any warning or urge. This is common in clients with nerve damage or spinal cord injuries, making it the correct answer.

B. Urge incontinence: Urge incontinence is characterized by a sudden, intense urge to urinate followed by involuntary urine loss. It is often associated with an overactive bladder, not nerve damage.

C. Stress incontinence: Stress incontinence involves urine leakage during physical activity or exertion (e.g., coughing, sneezing) that increases abdominal pressure. It is not typically related to nerve damage.

D. Overflow incontinence: Overflow incontinence occurs when the bladder is unable to empty properly, leading to dribbling of urine. It is often seen in conditions where the bladder muscles are weak or there is an obstruction. While it can be related to nerve damage, reflex incontinence is more accurate for this scenario.

A. "Your colostomy will not produce formed stool." B. "You should expect your stoma to be a purple color." C. "The end of the stoma will be painful after this procedure." D. "You will have a stoma in your left lower abdomen."

Correct Answer is D

Explanation

A. "Your colostomy will not produce formed stool." A sigmoid colostomy is located in the lower part of the large intestine where stool is typically more formed. Therefore, this statement is incorrect and should not be included in the teaching.

B. "You should expect your stoma to be a purple color." A healthy stoma should be pink or red and moist. A purple, dusky, or dark color may indicate compromised blood flow to the stoma and is a sign of a medical emergency. This statement is incorrect.

C. "The end of the stoma will be painful after this procedure." The stoma itself does not have nerve endings, so it should not be painful. Pain around the incision site may occur, but the stoma itself should not be painful. This statement is incorrect.

D. "You will have a stoma in your left lower abdomen." The sigmoid colon is located on the lower left side of the abdomen, so the stoma for a sigmoid colostomy is typically placed in this area. This statement is correct.

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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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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has urinary leakage due to nerve damage following a spinal erd injury. The nurse should identify that the client is experiencing which of the following types of urinary incontinence?

Correct Answer is A

Explanation

A nurse is teaching a client who is preoperative for a sigmoid colostomy. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

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