Difficulty: Medium
Average Score: 73%
Simulated
The nurse is caring for a client experiencing sympathetic nervous system stimulation. What assessment finding supports this diagnosis? Select all that apply.
Correct answer
A,C
Rationale
The correct answers are A and C. Increased heart rate and increased blood pressure are classic signs of sympathetic nervous system stimulation due to the release of adrenaline. Heart rate rises to improve oxygen delivery to muscles, and blood pressure increases to enhance circulation. Choices B, D, and E are incorrect as they are not directly related to sympathetic nervous system stimulation. Decrease in urinary bladder muscle tone (B) is a parasympathetic response, while decreased salivation (D) and decreased bowel sounds (E) are not specific indicators of sympathetic activation.