ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 67 Questions
Question 1 of 5
The nurse is caring for a client diagnosed with Parkinson disease. The nurse is most correct to correlate the client's uncontrolled tremors as a physical characteristic of a lack of which neurotransmitter?
Correct Answer: C
Rationale: Parkinson disease is a neurodegenerative disorder and the most common movement disorder. It is characterized by progressive loss of muscle control, which leads to trembling of the limbs and head while at rest, stiffness, slowness, and imbalance. Low levels of the neurotransmitter dopamine have been linked to the uncontrollable tremors. The other neurotransmitters are not related to Parkinson disease.
Question 2 of 5
The nurse is caring for a client who is taking a medication that affects the function of the neurotransmitter norepinephrine. The client asks 'What does norepinephrine normally do in the body?' What should the nurse include in the response? Select all that apply.
Correct Answer: A,B,C
Rationale: The nurse should inform the client that norepinephrine affects attention and concentration, raises energy level, and heightens arousal. It does not assist memory storage or decrease seizure potential.
Question 3 of 5
What is the result of the appropriate use of coping mechanisms?
Correct Answer: B
Rationale: When used appropriately and in moderation, coping mechanisms allow maintenance of psychological equilibrium and lead to psychological growth. Appropriate use of coping mechanisms does not alter body functions or symptoms or restore biologic functions.
Question 4 of 5
The nurse is caring for a client who consistently presents to the emergency department with symptoms of varied illnesses. Family members correlate the symptoms to illnesses seen on television or in other family members. When viewing past documentation of client history, which would the nurse anticipate?
Correct Answer: B
Rationale: Hypochondriasis is an abnormal fixation about the status of one's health. Some would propose that the disorder occurs when a person receives excessive attention and concern from others during childhood illnesses, which were unconsciously perceived as rewarding. The other disorders are not related.
Question 5 of 5
The client arrives at the emergency department reporting symptoms of heart palpitations, tightness in the chest, and epigastric pain after a stressful event. What system will the nurse correlate with the client symptoms?
Correct Answer: B
Rationale: The nurse is correct to correlate stress and the symptoms, which stem from organs affected by the autonomic nervous system. Clients may present with heart palpitations, pounding headache, breathlessness, tightness in the chest, chest pain, chronic pain, irritability, epigastric pain, abdominal discomfort and bloating, or constipation and diarrhea. The respiratory system is affected by stress, but the client's symptoms do not correlate to the respiratory system. The symptoms extend beyond cardiopulmonary system effects. The central nervous system is involved in only the brain and the spinal cord effects.