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 C
Explanation
A) Encourag’ng the client to consume more fiber is not directly related to the management of hypomagnesemia. While dietary modifications may be necessary for certain conditions, such as constipation, they are not a primary intervention for hypomagnesemia.
B) Limiting sodium-containing foods on the client's meal tray is not a specific intervention for hypomagnesemia. W’ile sodium restriction may be indicated for certain conditions, it does not address the underlying magnesium deficiency.
C) Checking the client's deep tendon reflexes every 4 hours is an appropriate action fo’ a client with hypomagnesemia. Hypomagnesemia can lead to neuromuscular irritability and hyperactive deep tendon reflexes. Monitoring the client's reflexes allows the nurse to assess for changes in neuromuscul’r status and identify potential complications such as tetany.
D) Restricting the client's fluid intake to 500 mL/day is not indicated for hypomagnesemia’ In fact, adequate hydration is important for maintaining electrolyte balance and supporting renal function. Restricting fluid intake could exacerbate dehydration and worsen electrolyte imbalances.
Correct Answer is D
Explanation
D. Fish and poultry are primary sources of heme iron: This is correct. Fish and poultry are rich sources of heme iron, which is the type of iron found in animal-based foods. Heme iron is more easily absorbed by the body than non-heme iron, which is found in plant-based foods.
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