Fundamentals Of Nursing : Infection, Asepsis, Basic concept of stress and IllnessCorrect Answers and Rationales
Fundamentals Of Nursing : Infection, Asepsis, Basic concept of stress and IllnessBy : Budekhttp://www.pinoybsn.tk
FUNDAMENTALS OF NURSING TEST II
CONTENT OUTLINE1. Illness2. Infection and Asepsis3. Basic concept of Stress and Adaptation
1. When the General adaptation syndrome is activated, FLIGHT OR FIGHT response sets in.Sympathetic nervous system releases norepinephrine while the adrenal medulla secretesepinephrine. Which of the following is true with regards to that statement?A. Pupils will constrictB. Client will be lethargic
C. Lungs will bronchodilate
D. Gastric motility will increase* To better understand the concept : The autonomic nervous system is composed of SYMPATHETIC and PARASYMPATHETIC Nervous system. It is called AUTONOMIC Because itis Involuntary and stimuli based. You cannot tell your heart to kindly beat for 60 perminute, Nor, Tell your blood vessels, Please constrict, because you need to wear skirt todayand your varicosities are bulging. Sympathetic Nervous system is the FIGHT or FLIGHTmechanism. When people FIGHT or RUN, we tend to stimulate the ANS and dominate overSNS. Just Imagine a person FIGHTING and RUNNING to get the idea on the signs of SNSDomination. Imagine a resting and digesting person to get a picture of PNS Domination. Aperson RUNNING or FIGHTING Needs to bronchodilate, because the oxygen need isincreased due to higher demand of the body. Pupils will DILATE to be able to see the enemyclearly. Client will be fully alert to dodge attacks and leap through obstacles during running.The client's gastric motility will DECREASE Because you cannot afford to urinate or defecateduring fighting nor running.
2. Which of the following response is not expected to a person whose GAS is activated andthe FIGHT OR FLIGHT response sets in?A. The client will not urinate due to relaxation of the detrusor muscleB. The client will be restless and alert
C. Clients BP will increase, there will be vasodilation
D. There will be increase glycogenolysis, Pancrease will decrease insulin secretion* If vasodilation will occur, The BP will not increase but decrease. It is true that Bloodpressure increases during SNS Stimulation due to the fact that we need more BLOOD tocirculate during the FIGHT or FLIGHT Response because the oxygen demand has increased,but this is facilitated by vasoconstriction and not vasodilation. A,B and D are all correct. Theliver will increase glycogenolysis or glycogen store utilization due to a heightened demandfor energy. Pancrease will decrease insulin secretion because almost every aspect of digestion that is controlled by Parasympathetic nervous system is inhibited when the SNSdominates.3. State in which a person’s physical, emotional, intellectual and social development orspiritual functioning is diminished or impaired compared with a previous experience.