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) 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.
Correct Answer is A
Explanation
A) "Your baby should wet 6 to 8 diapers per day":
This response is correct. One way to determine if a breastfed baby is getting enough milk is by monitoring the number of wet diapers. A newborn who is adequately breastfeeding typically wets at least 6 to 8 diapers per day, indicating sufficient fluid intake and adequate hydration.
B) "Your baby should sleep at least 6 hours between feedings":
This statement is inaccurate and does not provide an appropriate measure of whether the baby is getting enough breast milk. Newborns typically feed frequently, often every 2 to 3 hours, and it is normal for them to wake for feeds during the night. Using sleep patterns alone to assess feeding adequacy is not reliable and can lead to inadequate milk intake.
C) "Your baby should burp after each feeding":
While burping is a common practice after feeding to help prevent discomfort from trapped air, it is not an indicator of whether the baby is getting enough breast milk. Burping is more related to gastrointestinal comfort rather than feeding adequacy.
D) "Your baby should have a wake cycle of 30 to 60 minutes after each feeding":
This statement does not accurately assess feeding adequacy. While it's normal for babies to have awake periods after feeding, the duration of these wake cycles alone does not indicate whether the baby is getting enough breast milk. Monitoring diaper output and weight gain are more reliable indicators of feeding adequacy.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.