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NUR215 Exam 4: Stress/Coping & Elimination/Fluid & Electrolyte Imbalance
Questions and Answers with Complete Solutions UPDATED!!!
*REMEMBER* - ANSWER Any electrolyte imbalance, place
patient on CARDIAC MONITOR
Acid-Base Balance - ANSWER Amounts in solution reflected by
pH, acceptable range for serum (7.35 to 7.45), and is measured
by ABG
Acid-Base Imbalance - ANSWER Acidosis: serum pH below 7.35,
respiratory cause is retention of CO2, and metabolic cause is
loss of bicarb
Acid-Base Imbalance Cont'd - ANSWER Alkalosis: serum pH
above 7.45, respiratory cause is blowing off CO2, and metabolic
cause is increase bicarb
Acid-Base Regulation - ANSWER Buffer systems, respiratory
mechanisms, and renal mechanisms
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Adaptation - ANSWER Possible/desired outcome of stress,
involves adjusting to the stress/stressor, allows for normal
growth & development, effective responses to life's challenges
*The ability to adapt depends on intensity of the stressor,
effectiveness of coping skills, and personal factors
Adaptation Stage "Exhaustion/Recovery" - ANSWER Exhaustion:
decrease in blood pressure, elevated pulse, respiration, usually
ends in disease or death
Recovery: third stage, if adaptation uis successful
Alarm Stage "Fight or Flight" - ANSWER Stimulation of the SNS,
increased release of CRH (hypothalamus), Endorphins & ADH
(posterior pituitary), ACTH (anterior pituitary), Cortisol &
Aldosterone (adrenal cortex), Epinephrine & Norepinephrine
(adrenal medulla)
Bicarbonate - ANSWER ICF and ECF, acid-base balance, and
regulated by kidneys
Calcium Lab Values - ANSWER Hypocalcemia <8.2
Hypercalcemia >10.2
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Chloride - ANSWER ECF, bound to other ions
Define acid - ANSWER Compound that contains hydrogen (H+)
ions
Define base - ANSWER Compound that accepts hydrogen ions
Define cultural sensitivity. - ANSWER Be certain the
communication strategies you usually use are culturally
appropriate for the individual
Define extracellular - ANSWER Interstitial, intravascular, &
transcellular - OUT of the cell; 20 percent of body weight
Define General Adaptation Syndrome (GAS) - ANSWER The
body's physiological responses to stress, nonspecific bodily
responses shared by all people, response to distress as well as
eustress
NUR215 Exam 4: Stress/Coping & Elimination/Fluid & Electrolyte Imbalance
Questions and Answers with Complete Solutions UPDATED!!!
*REMEMBER* - ANSWER Any electrolyte imbalance, place
patient on CARDIAC MONITOR
Acid-Base Balance - ANSWER Amounts in solution reflected by
pH, acceptable range for serum (7.35 to 7.45), and is measured
by ABG
Acid-Base Imbalance - ANSWER Acidosis: serum pH below 7.35,
respiratory cause is retention of CO2, and metabolic cause is
loss of bicarb
Acid-Base Imbalance Cont'd - ANSWER Alkalosis: serum pH
above 7.45, respiratory cause is blowing off CO2, and metabolic
cause is increase bicarb
Acid-Base Regulation - ANSWER Buffer systems, respiratory
mechanisms, and renal mechanisms
, Page |2
Adaptation - ANSWER Possible/desired outcome of stress,
involves adjusting to the stress/stressor, allows for normal
growth & development, effective responses to life's challenges
*The ability to adapt depends on intensity of the stressor,
effectiveness of coping skills, and personal factors
Adaptation Stage "Exhaustion/Recovery" - ANSWER Exhaustion:
decrease in blood pressure, elevated pulse, respiration, usually
ends in disease or death
Recovery: third stage, if adaptation uis successful
Alarm Stage "Fight or Flight" - ANSWER Stimulation of the SNS,
increased release of CRH (hypothalamus), Endorphins & ADH
(posterior pituitary), ACTH (anterior pituitary), Cortisol &
Aldosterone (adrenal cortex), Epinephrine & Norepinephrine
(adrenal medulla)
Bicarbonate - ANSWER ICF and ECF, acid-base balance, and
regulated by kidneys
Calcium Lab Values - ANSWER Hypocalcemia <8.2
Hypercalcemia >10.2
, Page |3
Chloride - ANSWER ECF, bound to other ions
Define acid - ANSWER Compound that contains hydrogen (H+)
ions
Define base - ANSWER Compound that accepts hydrogen ions
Define cultural sensitivity. - ANSWER Be certain the
communication strategies you usually use are culturally
appropriate for the individual
Define extracellular - ANSWER Interstitial, intravascular, &
transcellular - OUT of the cell; 20 percent of body weight
Define General Adaptation Syndrome (GAS) - ANSWER The
body's physiological responses to stress, nonspecific bodily
responses shared by all people, response to distress as well as
eustress
