Pathophysiology Introductory Concepts And Clinical Perspectives – Test Bank

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Pathophysiology Introductory Concepts And Clinical Perspectives – Test Bank

Chapter 4: Stress, Exercise, and Immobility

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____ 1. Which is an example of eustress?

1.

Job promotion

2.

Death of a friend

3.

Unemployment

4.

Divorce

____ 2. A client is scheduled for a heart valve replacement. Which strategic action of the primary healthcare provider enhances the client’s adaptive ability and coping mechanism to reduce stress?

1.

Encouraging a family member to stay with the client in the pre-operative setting

2.

Permitting a family member to stay in the operation theater

3.

Administering epinephrine to reduce stress

4.

Restricting the family members from talking to the client in the pre-operative setting

____ 3. In which stage of Hans Selye’s general adaptation syndrome is the sympathetic nervous system (SNS) activated?

1.

Alarm stage

2.

Resistance stage

3.

Exhaustion stage

4.

Homeostasis

____ 4. What is polysomnography?

1.

A diagnostic test to examine sleep patterns

2.

A diagnostic test to examine eye movement

3.

A diagnostic test to examine respiratory functions

4.

A diagnostic test to examine electrical activity of the brain

____ 5. Which problem is a 55-year-old client most likely to exhibit as a result of prolonged benzodiazepine use?

1.

Unstable gait

2.

Bradycardia

3.

Dyspnea

4.

Anuria

____ 6. A client who has been taking an antidepressant for 10 days complains of depression and does not find the medication to be effective. Which is the best response by the nurse?

1.

“I will increase the drug dosage after informing the physician”

2.

“The medication will take at least 3 weeks to be effective.”

3.

“I will change the medication after informing the physician.”

4.

“Stop taking the medication.”

____ 7. Which is the most commonly used over-the-counter sleep aid?

1.

Diphenhydramine (Benadryl)

2.

Phenylephrine (Neo-Synephrine)

3.

Pseudoephedrine (Sudafed)

4.

Acetylcholine (Miochol)

____ 8. A registered nurse is explaining the effects of exercise on the cardiovascular system to a student nurse. Which statement by the student nurse indicates effective teaching?

1.

“Exercise prevents thrombus formation.”

2.

“Exercise increases fibrinogen levels.”

3.

“Exercise prevents angiogenesis.”

4.

“Exercise increases the heart’s efficiency by decreasing cardiac muscle mass.”

____ 9. A client is on long-term bed rest. Which condition might the client develop due to immobility?

1.

Orthostatic hypotension

2.

Venous stasis

3.

Hypertension

4.

Dyspnea

____ 10. A bedridden client has frequent gastrointestinal reflux. Which condition might the client develop due to gastrointestinal reflux?

1.

Aspiration pneumonia

2.

Hypotension

3.

Hyperthermia

4.

Constipation

____ 11. A nurse is providing care for a client, who is on bed rest due to immobility. Which measure does the nurse adopt to counteract the ill effects of immobility?

1.

Assess the client’s skin for erythema.

2.

Place the client in the prone position.

3.

Avoid seating the client on a chair.

4.

Change the position of the client every 4 hours.

____ 12. A client was hospitalized due to immobility. The blood report after one month of hospitalization shows that the client has developed septicemia. Which factor could have caused septicemia?

1.

Erythema

2.

Decubitus ulcer

3.

Antibacterial drugs

4.

Excessive exercise

____ 13. A client, who is on prolonged bed rest, has developed kidney stones. Which factor could have caused kidney stones?

1.

Change in the levels of glucose

2.

Change in the levels of growth hormone

3.

Change in the levels of thyroid hormone

4.

Change in the levels of parathyroid hormone

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