A nurse is teaching a group of clients about stress. Which of the following should the nurse include in the teaching?
"Protein requirements decrease in times of stress."
"Glucose is broken down more slowly during times of stress."
"Acute stress causes an increase in metabolism."
"Stress causes a positive nitrogen balance in the body."
The Correct Answer is C
A) "Protein requirements decrease in times of stress": This statement is incorrect. During times of stress, such as illness or injury, the body's protein requirements often increase to support tissue repair, immune function, and other metabolic processes. Therefore, protein requirements typically increase rather than decrease during periods of stress.
B) "Glucose is broken down more slowly during times of stress": This statement is also incorrect. During stress, the body releases hormones such as cortisol and adrenaline, which promote the breakdown of glycogen into glucose, providing a quick energy source for the body's response to stress. Therefore, glucose is broken down more rapidly during times of stress to meet the increased energy demands.
C) "Acute stress causes an increase in metabolism": This statement is accurate. Acute stress triggers the release of stress hormones, such as cortisol and adrenaline, which can increase metabolism. These hormones stimulate processes such as gluconeogenesis (the production of glucose from non-carbohydrate sources), lipolysis (the breakdown of fats), and increased heart rate and blood pressure, all of which contribute to an increase in metabolic rate during acute stress.
D) "Stress causes a positive nitrogen balance in the body": This statement is incorrect. Stress, particularly severe or prolonged stress, can lead to a negative nitrogen balance in the body. During stress, there may be increased protein breakdown to provide amino acids for energy production and other metabolic needs. Additionally, stress can impair protein synthesis and utilization, leading to muscle wasting and a negative nitrogen balance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) If the infant turns away after taking most of the feeding, it's a sign that they are full. Continuing to feed them after they ’ave indicated fullness can lead to overfeeding and discomfort. Therefore, it's important for the parents to recognize cues of satiety and sto’ the feeding accordingly.
B) Formula should not be changed to whole milk until the infant is at least 12 months old. Whole milk is not recommended as a replacement for formula before this age because it does not provide the appropriate balance of nutrients required for infant growth and development.
C) Formula that remains in the bottle should not be saved for another feeding because bacteria from the infant's mouth can contaminate the formula, increasing the risk of infe’tion. Any unused formula should be discarded after the feeding session.
D) Diluting formula to slow down weight gain is not recommended and can lead to inadequate nutrition for the infant. Infants should receive the appropriate concentration of formula to meet their nutritional needs for growth and development. If concerns arise about weight gain, parents should consult with their healthcare provider for appropriate guidance and recommendations.
Correct Answer is A
Explanation
A) Providing the client with food cut into small bites is a suitable action for a client with myasthenia gravis. This helps facilitate swallowing and reduces the risk of aspiration, which can be a concern for individuals with this condition due to muscle weakness, particularly in the throat and esophagus.
B) Instructing the client to take prescribed anticholinesterase medication with meals is indeed a crucial aspect of managing myasthenia gravis. Anticholinesterase medications help improve muscle strength by preventing the breakdown of acetylcholine, thus enhancing neuromuscular transmission. Taking these medications 30 minutes or so prior to meals optimizes absorption and minimizes gastrointestinal side effects.
C) Positioning the head of the client's bed to 40° while eating is beneficial for preventing aspiratio’ in clients with swallowing difficulties, including those with myasthenia gravis. This position helps reduce the risk of food or liquids entering the airway during swallowing.
D) Encouraging the client to lie down after eating is not recommended for individuals with myasthenia gravis, as it may increase the risk of aspiration. Instead, clients should remain upright for a period after eating to aid digestion and reduce the risk of reflux and aspiration pneumonia.
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