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."

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A) Breastfeeding alone cannot prevent a baby from developing phenylketonuria (PKU). PKU is an inherited metabolic disorder characterized by the body's inability to process phenylalanine, an amino acid found in protein. Infants with PKU must follow a special low-phenylalanine diet from birth to prevent intellectual disability and other complications. Breast milk contains phenylalanine, so infants with PKU require a special formula that is low in phenylalanine.

B) The consumption of diet sodas is not directly related to the management of phenylketonuria (PKU). Clients with PKU must closely monitor their intake of phenylalanine, an amino acid found in protein-containing foods. Diet sodas typically do not contain protein or phenylalanine, so their consumption is not a primary concern for individuals with PKU.

C) Monitoring serum bilirubin levels is not specific to the management of phenylketonuria (PKU) during pregnancy. Serum bilirubin levels are typically monitored to assess liver function and screen for conditions such as jaundice. While individuals with PKU may require additional monitoring during pregnancy, such as monitoring phenylalanine levels, serum bilirubin levels are not typically a focus of PKU management.

D) Following a low-protein diet for several months prior to conception is an important aspect of managing phenylketonuria (PKU) during pregnancy. High levels of phenylalanine in the mother's blood can cross the placenta and harm the developing fetus, potentially leading to intellectual disability and other complications. By adhering to a low-protein diet before conception, individuals with PKU can lower their phenylalanine levels and reduce the risk of complications during pregnancy.

A. Wear sterile gloves during a feeding. B. Flush the tubing with 15 mL of water after each feeding. C. Position the client upright prior to a feeding. D. Chill the feeding prior to administering.

Correct Answer is ["B","C"]

Explanation

A) Wear sterile gloves during a feeding: While hand hygiene is essential when handling enteral feeding equipment, wearing sterile gloves for administering intermittent enteral feedings is not typically necessary. Standard precautions, including handwashing and using clean gloves, are sufficient to prevent infection.

B) Flush the tubing with 15 mL of water after each feeding: Flushing the tubing with water after each feeding helps prevent clogging and ensures that the full dose of the feeding is delivered to the client. It also helps maintain tube patency and reduces the risk of bacterial growth in the tubing.

C) Position the client upright prior to a feeding: Positioning the client upright, typically at a 30 to 45-degree angle, helps prevent aspiration during enteral feedings. This position promotes proper flow of the feeding into the stomach, reduces the risk of reflux, and facilitates digestion. It also helps ensure that the feeding reaches the intended destination and minimizes the risk of complications such as aspiration pneumonia.

D) Chill the feeding prior to administering: Chilling the feeding is not a standard practice for administering intermittent enteral feedings. In fact, administering cold feedings may cause discomfort and gastrointestinal upset in some clients. It is generally recommended to administer enteral feedings at room temperature or slightly warmed to body temperature to enhance tolerance and absorption.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is teaching a group of clients about stress. Which of the following should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing anticipatory guidance to a client who has phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?

Correct Answer is D

Explanation

A nurse is teaching the partner of a client about administering intermittent enteral feedings. Which of the following instructions should the nurse include?

Correct Answer is ["B","C"]

Explanation

A nurse is teaching a client who reports wanting to lose weight about behavioral modifications. Which of the following statements should the nurse include in the teaching?

A school nurse is providing dietary teaching to a group of adolescent students. Which of the following information should the nurse include?

A nurse is providing teaching about dietary modifications to a client who has cholecystitis. The nurse should include which of the following foods as appropriate for the client's diet?

A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with the Plastibell technique. Which of the following client statements indicates understanding of circumcision care? (Select all that apply.)

A nurse is teaching a client who has anemia about beverages that enhance the absorption of nonheme iron. Which of the following beverages should the nurse include in the teaching?

A nurse is caring for a client who follows a vegan diet. The nurse should identify that the client is at risk for which of the following deficiencies?

A nurse is caring for a client who is prescribed 45 calories/kg per day. The client weighs 132 lb. What should the client's daily caloric intake be? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is providing discharge teaching for a client who has iron deficiency anemia. Which of the following information should the nurse include?