The nurse is caring for a client status one day after colon resection with anastomosis. The client has a nasogastric tube in place, putting him on NPO status. The nurse is aware this places the client in what state?
A) Protein–energy malnutrition C) Marasmus
B) Negative nitrogen balance D) Neutral nitrogen balance
B
Feedback:
A negative nitrogen balance indicates that protein catabolism is occurring at a faster rate than protein synthesis, which occurs during starvation or the catabolic phase after injury. Protein–energy malnutrition does not occur one day after a major surgery. Marasmus does not follow an acute event such as surgery. A neutral nitrogen balance is the state where protein intake equals protein catabolism.
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In planning for discharge of a client needing follow-up for diabetic education, the nurse should contact a:
1. Long-term care facility. 2. Home health agency. 3. Temporary service agency. 4. Public health department.
A 19-year-old student comes to the student health center at the end of the semester complaining that, "My heart is skipping beats." An electrocardiogram (ECG) shows occasional premature ventricular contractions (PVCs)
What action should the nurse take next? a. Start supplemental O2 at 2 to 3 L/min via nasal cannula. b. Ask the patient about current stress level and caffeine use. c. Ask the patient about any history of coronary artery disease. d. Have the patient taken to the hospital emergency department (ED).
The hips and shoulders are:
a. Ball-and-socket joints b. Hinge joints c. Pivot joints d. Ligament joints
The practice of removing sins and diseases and cleansing negative energy away from body, mind, and spirit through ritualistic washing is/are
A) Kachhn. B) amulets. C) Kara. D) ablutions.