Mr. Y went to bed after his TV snacks and ice cream, which was not long after supper. How could this contribute to his weight gain?
During sleep our BMR decreases, thus reducing our caloric requirement. Mr. Y still had a significant amount of food to be digested and absorbed which would result in increased levels of blood glucose, amino acids, and triglycerides. Instead of Mr. Y staying awake and doing some activity to burn off some of the excessive calories he took in, he is allowing his BMR to decrease. The excessive calories will be converted to adipose tissue.
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The nurse is caring for a client with hepatitis A virus. The client requests information about how the virus is transmitted. Which of the following statements by the nurse is the best response?
1. "This virus is transmitted by sexual contact with someone who already has been infected with this virus.". 2. Most likely, you ate something that was contaminated with the virus.". 3. "It is spread by blood transfusions.". 4. "Have you ever injected an illegal drug?"
A patient is consulting a certified nurse-midwife because she is hoping for a vaginal birth after cesarean (VBAC) with this pregnancy. Which statement indicates that the patient requires more information about VBAC?
1. "I can try a vaginal birth because my uterine incision is a low segment transverse incision." 2. "The vertical scar on my skin doesn't mean that the scar on my uterus goes in the same direction." 3. "There is about a 90% chance of giving birth vaginally after a cesarean." 4. "Because my hospital has a surgery staff on call 24 hours a day, I can try a VBAC there."
Throughout the nursing process communication is used. During the evaluation phase, communi-cation is specifically used by the nurse to:
1. Delegate activities to other staff members 2. Validate the client's health and wellness needs 3. Acquire both verbal and nonverbal client feedback 4. Document expected outcomes and planned interventions
The patient has been diagnosed with cardiovascular disease and placed on a low-fat diet. The patient asks the nurse, "How much fat should I have? I guess the less fat, the better."
Which information will the nurse include in the teaching session? a. Cholesterol intake needs to be less than 300 mg/day. b. Fats have no significance in health and the incidence of disease. c. All fats come from external sources so this can be easily controlled. d. Deficiencies occur when fat intake falls below 10% of daily nutrition.