NURSING 3100 EXAM 3 Complete Questions & Answers(RATED A)
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Course
Nurs 3100
Institution
Nurs 3100
Why is it important to have sufficient carbohydrates in the diet to "spare" protein? - ANSWER - want to avoid negative nitrogen balance
-protein- sparing effect is all about making sure the protein you consume is not being used as energy
- spare protein from being used by energy --> you help...
NURSING 3100 EXAM 3 Complete
Questions & Answers(RATED A)
Why is it important to have sufficient carbohydrates in the diet to "spare" protein? -
ANSWER - want to avoid negative nitrogen balance
-protein- sparing effect is all about making sure the protein you consume is not being
used as energy
- spare protein from being used by energy --> you help ensure body has all it needs to
fill proteins other roles in body
If diet is lacking an essential amino acid, what happens to protein synthesis? -
ANSWER - will be halted
List 3 risks of over consumption of high protein foods on a long-term basis. - ANSWER
1. limited dietary fiber
2. potential for vitamin/mineral deficiencies
3. animal protein foods- also high in fat and associated in these co-morbidities
- coronary artery disease
- cancer
- type II diabetes
- hypertension
Body builders who consume large amounts of powdered protein supplements are at risk
for adverse consequences? - ANSWER - increased urinary frequency --> puts points at
risk for dehydration
- microvascular damage to the kidney
- excess protein is stored as fat, rather than contributing to muscle mass
Give 3 examples of clinical condition that would put a patient in negative nitrogen
balance - ANSWER - = value of protein they are excreting is much higher than the
values they are consuming
- Clinical conditions:
- starvation/malnutrition
- anorexia
- burns
- blood loss
Give 5 examples of complementary plant protein combinations. - ANSWER 1. rice and
beans
2. rice and tofu
3. rice and lentils
4. rice and black eyed peas
5. peanut butter and bread
, Is it true that strict vegetarians must consume complete plant protein combinations at
the same meal ? - ANSWER ?
What happens to excess dietary protein that is above the needs for growth and repair ?
- ANSWER - the become stored in the body as fat
- deamination also occur and excreted by kidney
What happens to serum transferrin levels in patients with protein depletion? What
happens to the total iron binding capacity ? How is the serum transferrin saturation level
impacted? - ANSWER - decreased in patients with protein depletion. smaller sponge
saturates with iron faster
- total iron binding capacity is influenced by iron status. serum transferrin levels down
with protein depletion, capacity decreased, saturation increased
The needs for what nutrients are increased in an individual suffering from 3rd degree
burns? post-op? sepsis? - ANSWER - protein, zinc, iron, beta-carotene, vit C, selenium,
C- calories, P-proteins
Describe the mechanism of the dumping syndrome. - ANSWER - stomach is bypassed,
theres a lack of exposure to HCL, quick turnover from food bolus in SI patients
experience a pull of fluids in SI (increased volume in Jejunum)
- first phase:
- shock, cold sweating, dizziness, nausea and vomitting
- second phase:
- hyperglycemia followed by hypoglycemia
TREATMENT:
- restrict simple carbs
- small frequent meals for an extended period of time
- fluids between meals because patient is bypassing the stomach, the SI cannot handle
this much volume at one time
What are the causes, symptoms, and possible causes of paralytic ileus ? - ANSWER -
AKA post-op ileus= the activity that you are listening for with the stethoscope is not
present. loss of propulsive bowel activity
- SYMPTOMS:
- abdominal distention, lack of bowel sounds, lack of flatus, dehydration, hypokalemia,
colonic activity most affected
-FACTORS THAT PROLONG:
- pain
- intraperitoneal irritation
- autonomic, cardiac and sedative prescriptions
- electrolyte imbalance
- concomitant disease
What indicates end of ileus?
- passing gas
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