Which assessment findings indicate to the nurse that the patient is experiencing a stress response?

A) The patient's pupils are dilated.
B) The patient's blood sugar is 36 mg/dL.
C) The patient's blood pressure is 104/56.
D) The patient's pulse is 132 beats/minute.
E) The patient is unable to sleep at night.

Which nursing interventions are appropriate for a 38-year-old patient admitted with a diagnosis of Dehydration who has a temperature of 101.5°F (38.6°C) ? Select all that apply.

A) Provide oral and/or IV fluids.
B) Take vital signs every 2 hours.
C) Contact the provider for respirations of 18 breaths/min.
D) Keep the patient on a "nothing by mouth" (NPO) diet until defervescence occurs.
E) Apply a cooling blanket every 2 hours.

During an oral examination of a 4-year-old American-Indian child, the nurse notices that her uvula is partially split. Which of these statements is accurate?

A) A bifid uvula may occur in some American-Indian groups.
B) This condition is a cleft palate and is common in American Indians.
C) A bifid uvula is torus palatinus, which frequently occurs in American Indians.
D) This condition is due to an injury and should be reported to the authorities.

The nurse notes an S₃ heart sound while performing an assessment on a patient admitted with an acute myocardial infarction.What should this finding indicate to the nurse?

A) Heart failure
B) Coronary artery disease
C) Hypertension
D) Pulmonic stenosis