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Exam 3: NUR155/ NUR 155 Latest Updated 2024 Foundations of Nursing Exam With Correct Questions and Answers 3 stages of stress - alarm, resistance, exhaustion internal strategies for stress coping - address pt feelings with stress external strategies for stress coping - relief through mobilization of support compensation - focusing on strengths rather than perceived weaknesses denial - ignoring aspects of reality displacement - redirecting negative emotion intellectualization - overthinking a challenging situation to avoid dealing with emotion projection - attributing one's own feelings to another person rationalization - explaining personal actions that enhance self-image reaction formation - responding to negative thoughts or feelings with positive actions regression - reverting to behaviors of early stages of development repression - blocking unacceptable thoughts and feelings sublimation - channeling unacceptable emotions into acceptable actions first principle of delegation - nurses must have knowledge of the nurse practice act in the state where they are licensed second principle of delegation - the RN cannot delegate assessment, planning, evaluation, or accountability for the assigned task third principle of delegation - the person to whom the assignment was delegated cannot delegate that assignment to someone else Transplant film, adhesive-backed polyurethane - prevents bacteria and fluids from entering the wound; non-absorbant; wounds with minimal drainage; autolytic debridement Hydrocolloids, occlusive, adhesive dressings composed of gelling agents and carboxymethylcellulose - absorb small to moderate amount of drainage; 3-7 days; prevents excess moisture; for clean wounds with moderate drainage Alginates, made from brown seaweed fiber - highly absorbent; non adhesive; avoid dry wounds; highly exudative wounds use on bleeding wounds stage 1 treatment - relieve pressure; repositioning; pressure relieving devices; keep pt clean dry and nourished stage 2 treatment - maintain moist healing environment; apply hydrocolloid dressing; nutritional supplements; administer analgesics stage 3 treatment - clean and/ or debride dressing, surgical intervention, proteolytic enzymes; administer antimicrobials stage 4 treatment - clean and debride; non adherent dressing change every 12 hrs; skin grafts or hyperbaric oxygen serous - clear serosaguineous - clear and red mix sanguineous - red purulent - thick yellow, green, beige Blood flow through the heart - R atrium --> tricuspid valve --> R ventr. --> pulm. valve --> pulm. trunk --> R & L pulm. arteries (NO O2) --> capillary beds of alveoli (lungs) --> pulm. vein (picks up O2) --> L atrium --> bicuspid valve (mitral) --> L ventr. --> aortic semilunar valve --> aorta --> systemic arteris --> capillaries of body tiss. --> systemic veins --> superior and inferior venae cavae musculoskeletal/ nervous system interventions - exercise; positioning devices; assistive devices; pain assessment; early ambulation isotonic exercise definition - constant muscle contraction isometric exercise definition - exercise without using joints aerobic exercise definition - use oxygen for energy anaerobic exercise definition - increase body mass active ROM exercise - independent passive ROM exercise - dependent/ with help How many times should you perform ROM exercises with a patient? -2x daily; 3-5x per joint anaerobic exercise example - weight lifting