Explain the interaction of stress and the endocrine system
What will be an ideal response?
Stress is defined as any event that disturbs the stable internal environment. In the presence of stress, the body reacts in two ways as initiated by the hypothalamus via the pituitary gland: (1) acute, short-term response, or fear-fight-flight reaction mediated by the sympathetic nervous system, and (2) chronic, longer-term response via the endocrine glands with the adrenal cortex playing a major role. The short-term response is characterized by the increased production of norepinephrine from the nerve endings and also from the medulla. This results in an increase in heart rate, glucose level, and blood pressure. The long-term response is characterized by the increased production of cortisol, growth hormone, and thyroid hormones. The increase in these hormones affects glucose, protein, and fat metabolism accompanied by the decreased inflammatory and immune system response, increased blood pressure and metabolic rate, increased aldosterone resulting in salt and water retention, and a decrease in gonadal function that may result in stress-related cessation of menstrual period.
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The primary nursing goal for an older person with Parkinson's disease (PD) is to
a. Avoid development of the characteristic shuffling gait b. Maintain continence c. Maintain function and self-care d. Facilitate taking medications as ordered
A(n) ______ effect is a predictable and often unavoidable adverse effect produced at a usual therapeutic dose
a. adverse b. side c. therapeutic d. toxic
The organization that grew out of the United Nations and whose goal is to attain the highest possible level of health for all persons is the:
1. Economic and Social Council 2. World Health Organization 3. Pan American Health Organization (PAHO) 4. World Health Assembly (WHA)
The nurse should expect the apical heart rate of a stabilized newborn to be in which range?
a. 60 to 80 beats/min b. 80 to 100 beats/min c. 120 to 140 beats/min d. 160 to 180 beats/min