Exhibits

The nurse discusses the keep to balance energy intake and output to maintain weight

Click to indicate whether the following actions would be effective or ineffective for this client to achieve energy balance. Each row must have one option selected.

Select foods that are lower in caloric density

Increase exercise intensity

Get up and walk at least once an hour at work

Add healthy foods to increase caloric intake

Avoid food with high carbohydrate levels

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}

A. Select foods that are lower in caloric density
Effective: Choosing foods that are lower in caloric density (such as fruits, vegetables, lean proteins) can help the client feel fuller with fewer calories. This can support weight maintenance or even weight loss if that is the goal.

B. Increase exercise intensity
Effective: Increasing exercise intensity can help the client burn more calories, contributing to energy expenditure. This can assist in achieving energy balance, particularly if the client wants to maintain her current weight while consuming adequate calories.

C. Get up and walk at least once an hour at work
Effective: Incorporating regular physical activity throughout the day, such as walking breaks, helps increase energy expenditure. It also breaks up sedentary behavior, which is beneficial for overall health and can contribute to energy balance.

D. Add healthy foods to increase caloric intake
Ineffective: Adding healthy foods to increase caloric intake would likely lead to a positive energy balance (where intake exceeds expenditure), potentially causing weight gain. Since the goal is to maintain weight, increasing caloric intake, even with healthy foods, would not be effective.

E. Avoid food with high carbohydrate levels
Ineffective: Carbohydrates are an important source of energy. Avoiding foods with high carbohydrate levels could limit the client's energy intake, potentially leading to negative energy balance if not replaced adequately with other nutrients.

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Correct Answer is ["21"]

Explanation

To calculate the flow rate in gtt/min, you can use the formula: (Volume in mL * Drop factor) / Time in
minutes.

For 1 L of lactated Ringer's IV, which is 1000 mL, to be infused over 12 hours, with an IV administration set that delivers 15 gtt/mL, the calculation would be: (1000 mL * 15 gtt/mL) / (12 hours * 60 minutes/hour).

This simplifies to (15000 gtt) / (720 minutes), which equals approximately 20.83 gtt/min.

Therefore, the nurse should regulate the infusion to 21 gtt/min, rounding to the nearest whole
number.

A. Finish the procedure. B. Close the room door. C. Call for an assistant. D. Respond to the code.

Correct Answer is D

Explanation

Rationale

A. Continuing with the tracheostomy care procedure while a code blue is ongoing for another client is not appropriate. A code blue takes precedence as it indicates a life-threatening emergency requiring immediate response.

B. Closing the room door is not a priority action during a code blue. The immediate focus should be on responding to the emergency and providing assistance as needed.

C. If additional help is needed to assist with the tracheostomy care procedure, calling for an assistant could be appropriate under normal circumstances. However, during a code blue, the primary responsibility is to respond to the emergency immediately.

D. A code blue indicates a cardiac or respiratory arrest, which requires immediate intervention. As a nurse, responding to the code blue involves providing assistance with cardiopulmonary resuscitation (CPR), fetching emergency equipment, and supporting the healthcare team in resuscitative efforts.

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Exhibits The nurse discusses the keep to balance energy intake and output to maintain weight Click to indicate whether the following actions would be effective or ineffective for this client to achieve energy balance. Each row must have one option selected.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives a prescription for 1 L of lactated Ringer's IV to be infused over 12 hours. The IV administration set delivers 15 gtt/mL. How many gtt/min should the nurse regulate the infusion? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

Correct Answer is ["21"]

Explanation

The nurse is performing tracheostomy care for a client when a code blue is called for another client on the unit who experiences a cardiopulmonary arrest. Which action should the nurse take?

Correct Answer is D

Explanation

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Exhibits

The nurse discusses the keep to balance energy intake and output to maintain weight

Click to indicate whether the following actions would be effective or ineffective for this client to achieve energy balance. Each row must have one option selected.