NUR 215 Exam 3 Mod. 7-9 Latest Update Graded A+
NUR 215 Exam 3 Mod. 7-9 Latest Update Graded A+ 3 stages on how the body responds to stress: GAS Alarm: - fight or flight reactions, SNS is activated & releases norepinephrine. Resistance: - Adaptation, in which the body enacts physical & psychological adaptive mechanisms to maintain homeostasis. Exhaustion: - Cannot adapt, that leads to exhaustion (usually ends in disease or death). Recovery: - If adaptation was successful. Active listening build trust, acceptance & showing interest S: sit facing client O: observe open posture L: lean toward client E: establish, maintain eye contact R: relax Adaptation possible/desired outcome of stress adjusting to the stressor ability to adapt depends on: - intensity of stressor - effectiveness of coping skills - personal factors (resilience) Analysis/nursing diagnosis for airway - Ineffective airway - Impaired gas exchange - Ineffective breathing pattern - Impaired spontaneous ventilation - Dysfunctional ventilatory weaning response - Risk for aspiration analysis/nursing diagnosis for stress - physical (self-care deficit) - behavioral (powerlessness) - cognitive (knowledge deficit) - emotional (ineffective coping) - interpersonal (social isolations) - spiritual (spiritual distress) Anatomy of lower airway in lungs -- Sterile Exchange of O2 and CO2 Alveolar capillary/capillary cell membrane Below the larynx trachea Bronchi and bronchioles Anatomy of upper airway and lungs -- are not sterile
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