A nurse is assessing a patient with prolonged stress. Which conditions will the nurse monitor for in this patient? (Select all that apply)
Explanation & Rationale
Choice A reason: Prolonged stress elevates cortisol, increasing blood pressure via vasoconstriction and sodium retention, not lowering it. Low blood pressure is not a typical stress-related condition, making this an incorrect choice for monitoring. Choice B reason: Cancer risk may increase with chronic stress due to immune suppression, but it is not an immediate condition to monitor. Acute stress-related issues like diabetes or infections are more urgent, making this incorrect. Choice C reason: Prolonged stress increases cortisol, promoting insulin resistance and hyperglycemia, raising diabetes risk. Monitoring blood glucose is critical, as stress exacerbates glycemic control, making this a correct condition to monitor. Choice D reason: Alkalosis is not directly linked to prolonged stress, which more commonly causes metabolic acidosis in severe cases (e.g., lactic acidosis). Respiratory or metabolic alkalosis is less relevant, making this incorrect. Choice E reason: Prolonged stress suppresses immunity via cortisol, increasing infection susceptibility. Monitoring for signs like fever or delayed healing is essential, as infections are a common stress complication, making this correct.