Physiological response to fear and anxiety includes which of the following?
Tachycardia
Bronchial constriction
Bradypnea
Pupillary constriction
The Correct Answer is A
Choice A reason: Tachycardia is a physiological response to fear and anxiety. Tachycardia is a condition where the heart rate is faster than normal, usually above 100 beats per minute. Fear and anxiety can trigger the release of stress hormones, such as adrenaline and cortisol, that stimulate the sympathetic nervous system. This causes the heart to beat faster and stronger, increasing the blood flow and oxygen delivery to the muscles and organs. This prepares the body for the fight-or-flight response, which is a survival mechanism that helps the person to cope with a perceived threat or danger.
Choice B reason: Bronchial constriction is not a physiological response to fear and anxiety. Bronchial constriction is a condition where the airways in the lungs become narrow and inflamed, reducing the airflow and causing difficulty breathing. Bronchial constriction can be caused by various factors, such as asthma, allergies, infections, or irritants. Fear and anxiety can worsen the symptoms of bronchial constriction, but they are not the primary cause of it.
Choice C reason: Bradypnea is not a physiological response to fear and anxiety. Bradypnea is a condition where the breathing rate is slower than normal, usually below 12 breaths per minute. Bradypnea can be caused by various factors, such as brain injury, drug overdose, sleep apnea, or metabolic disorders. Fear and anxiety can increase the breathing rate, not decrease it, as the body needs more oxygen to cope with the stress.
Choice D reason: Pupillary constriction is not a physiological response to fear and anxiety. Pupillary constriction is a condition where the pupils in the eyes become smaller and less responsive to light. Pupillary constriction can be caused by various factors, such as eye injury, medication, aging, or neurological disorders. Fear and anxiety can cause pupillary dilation, not constriction, as the pupils widen to allow more light and improve the vision. This helps the person to see better and react faster to the situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Environmental stress is not the correct answer. Environmental stress is caused by external factors that are beyond the person's control, such as noise, pollution, weather, or natural disasters. These factors can affect the person's physical and mental health, but they are not related to the person's specific situation or event.
Choice B reason: Situational stress is the correct answer. Situational stress is caused by a particular situation or event that the person faces, such as a test, a job interview, a conflict, or a loss. These situations or events can create pressure, uncertainty, or anxiety for the person, and they may require the person to adapt or cope with the change or challenge.
Choice C reason: Daily Hassle stress is not the correct answer. Daily Hassle stress is caused by the minor annoyances or frustrations that the person encounters in their everyday life, such as traffic, deadlines, bills, or household chores. These hassles can accumulate and affect the person's mood, health, or well-being, but they are not related to the person's specific situation or event.
Choice D reason: Episodic stress is not the correct answer. Episodic stress is caused by frequent or chronic exposure to stressful situations or events, such as work overload, financial problems, or family issues. These situations or events can create a constant state of worry, agitation, or distress for the person, and they may affect the person's physical and mental health. Episodic stress is not a type of stress, but rather a result of experiencing too much stress over a long period of time.
Correct Answer is A
Explanation
Choice A reason: This is the correct answer because stopping the KCl infusion is the first and most urgent action that the nurse should take. A high level of potassium in the blood, or hyperkalemia, can cause life-threatening cardiac arrhythmias and muscle weakness. The nurse should stop the source of excess potassium, which is the KCl infusion, and monitor the client's vital signs, electrocardiogram, and symptoms.
Choice B reason: This is not the correct answer because administering oral KCl is not the first or appropriate action that the nurse should take. Oral KCl would increase the potassium level in the blood, which is already too high. The nurse should avoid giving any potassium supplements or foods that are high in potassium, such as bananas, oranges, and potatoes.
Choice C reason: This is not the correct answer because encouraging fluids for dilution is not the first or effective action that the nurse should take. Fluids alone would not lower the potassium level in the blood, but rather dilute the concentration of other electrolytes, such as sodium and calcium. The nurse should administer fluids only as prescribed by the physician, and in conjunction with other treatments, such as diuretics, insulin, or sodium bicarbonate.
Choice D reason: This is not the correct answer because calling the pharmacy is not the first or priority action that the nurse should take. Calling the pharmacy may be necessary to obtain the medications that can lower the potassium level in the blood, such as diuretics, insulin, or sodium bicarbonate. However, the nurse should first stop the KCl infusion and notify the physician, who will order the appropriate medications and dosages.
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