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) "I should place my baby's crib next to the heater to keep him warm during the winter":
Placing the baby's crib next to a heater poses a risk of overheating and burns, which can be dangerous for the newborn. This statement indicates a misunderstanding of crib safety and puts the baby at risk of injury.
B) "I should pad the mattress in my baby's crib so that he will be more comfortable when he sleeps":
Padding the mattress in the baby's crib increases the risk of suffocation and SIDS. Soft bedding, including padded mattresses, should be avoided to maintain a safe sleep environment for the baby. This statement indicates a lack of understanding of safe sleep practices.
C) "I should remove extra blankets from my baby's crib":
Removing extra blankets from the baby's crib is a crucial aspect of crib safety. Extra bedding increases the risk of suffocation and SIDS, so it's essential to keep the crib free of loose blankets, pillows, and other soft items. This statement indicates an understanding of safe sleep practices and prioritizes the baby's safety.
D) "I will place my baby on his stomach when he is sleeping":
Placing the baby on his stomach for sleep increases the risk of SIDS. The American Academy of Pediatrics recommends placing babies on their backs to sleep to reduce the risk of sudden unexpected infant death. This statement indicates a misunderstanding of safe sleep practices and poses a risk to the baby's safety.
Correct Answer is D
Explanation
A. Place an identification bracelet:
While important for identification purposes, placing an identification bracelet is not the priority immediately following birth. Ensuring the newborn's physiological stability takes precedence.
B. Administer eye prophylaxis:
Administering eye prophylaxis is an essential newborn care procedure to prevent neonatal conjunctivitis caused by exposure to maternal gonorrhea or chlamydia. However, it is not the priority immediately after ensuring a patent airway.
C. Administer vitamin K:
Administering vitamin K is important for preventing vitamin K deficiency bleeding (VKDB) in newborns. However, it is typically done after drying the skin and other immediate newborn care tasks.
D. Dry the skin:
This is the correct answer. Drying the newborn's skin is the priority after ensuring a patent airway. Drying helps prevent heat loss and stimulates the newborn's breathing and circulation. It is an essential step in newborn care immediately after birth to promote thermal stability and adaptation to extrauterine life.
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