The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply. (Select All that Apply.)

Increased heart rate

Decrease in urinary bladder muscle tone

Increased blood pressure

Decreased salivation

Decreased bowel sounds

Answer and Explanation

Correct Answer : A,C

A.   Increased heart rate: Sympathetic nervous system stimulation typically leads to increased heart rate as part of the "fight or flight" response.
B.   Decrease in urinary bladder muscle tone: Sympathetic stimulation would typically cause relaxation of the urinary bladder, leading to increased muscle tone.
C.   Increased blood pressure: Sympathetic nervous system activation results in vasoconstriction and increased cardiac output, leading to elevated blood pressure.
D.   Decreased salivation: Sympathetic stimulation can lead to decreased salivation as part of the "fight or flight" response, but it's not a consistent finding.
E.   Decreased bowel sounds: Sympathetic activation can inhibit gastrointestinal motility, leading to decreased bowel sounds, but it's not a universal finding in sympathetic stimulation.

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Correct Answer is A

Explanation

A. Midazolam: Benzodiazepine with rapid onset of action, often preferred for acute seizure management such as status epilepticus.
B. Carbamazepine: Not typically used for acute seizure management like status epilepticus; more commonly used for maintenance therapy in epilepsy.
C. Diazepam: Benzodiazepine also used for acute seizure management, including status epilepticus. However, midazolam is often preferred due to its faster onset and shorter duration.
D. Valproic acid: Effective for long-term seizure control but not typically used for acute seizure management such as status epilepticus.

A. Egg salad sandwich B. Pepperoni pizza C. Pancakes and maple syrup D. Fried eggs over-easy

Correct Answer is B

Explanation

A. Egg salad sandwich: Eggs are generally considered safe to consume with MAOIs. There are no significant interactions between egg salad and MAOIs.
B. Pepperoni pizza: Pepperoni contains high levels of tyramine, which can cause a hypertensive crisis when consumed with MAOIs. Therefore, pepperoni pizza should be avoided by patients
taking MAOIs.

C. Pancakes and maple syrup: Pancakes and maple syrup are generally safe choices with MAOIs, as they do not contain high levels of tyramine.
D. Fried eggs over-easy: Like egg salad, fried eggs are generally considered safe to consume with MAOIs. There are no significant interactions between fried eggs and MAOIs.

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The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply. (Select All that Apply.)

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