Exam (elaborations)
NR228 Nutrition And Trauma : Questions & A+ Answers
NR228 Nutrition And Trauma : Questions & A+ Answers
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NR228 Nutrition And Trauma : Questions & A+Answers
The nurse caring for a client admitted to the emergency department should
monitor the client for which early metabolic response to stress?
Increase in oxygen consumption
Hyperthermia
Decrease in insulin levels
Increase in cardiac output Right Ans - decrease in insulin levels
The most stressful physical trauma would be which of the following?
Minor surgery
Low-grade fever
Wrist fracture
Third-degree burn Right Ans - third-degree burn
What are the major differences between severe stress and starvation?
With severe stress, metabolic rate ______________. The client is in a ______________
state.
With starvation, metabolic rate ________________. The client is in a ____________
state. Right Ans - increases
hypermetabolic
decreases
hypometabolic
Which health problems can activate the body's stress response and affect the
client's nutritional status? Select all that apply.
Burns
Open-heart surgery
Vitamin deficiency
Bariatric surgery
Malabsorption issues Right Ans - Burns
Open-heart surgery
, Bariatric surgery
Malabsorption issues
The nurse should plan nutritional support for clients experiencing stress
based on clinical responses during each phase of the stress response. Match
each listed clinical response to the phase of stress in which it occurs.
Ebb Phase (initial injury)
Flow Phase (recovery)
Clinical Response:
Hypothermia
Increased oxygen consumption
Decreased oxygen consumption
Hypotension
Hyperthermia
Normal blood pressure Right Ans - Ebb Phase (initial injury): Hypothermia,
decreased oxygen consumption, hypotension
Flow Phase (recovery): increased oxygen consumption, hyperthermia, normal
blood pressure
The registered dietitian consulting with an underweight older adult
recovering from hip replacement surgery should encourage the client to
consume how much protein each day?
0.6 g/kg body weight
0.8 g/kg body weight
1.0 to 1.5 g/kg body weight
1.5 to 2.0 g/kg body weight Right Ans - 1.5 to 2.0 g/kg body weight
The nurse discussing optimal nutrition with a 50-year-old client a week prior
to surgery to replace a heart valve should encourage the client to consume
how much fluid per day?
20 mL/kg body weight
25 mL/kg body weight
30 mL/kg body weight
35 to 40mL/kg body weight Right Ans - 35 to 40mL/kg body weight
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