During a nutritional assessment the nurse finds that a patient's energy needs exceed nutritional intake. What other assessment finding will the nurse observe?
a. Weight gain
b. Weight loss
c. Anabolism
d. Excessive adipose tissue
B
When patient's energy needs exceed nutritional intake, weight loss will occur. Energy balance occurs when energy requirements equal energy intake. In general, when a person exceeds his or her energy needs or his or her needs are insufficient, the person either gains or loses weight, respectively. Weight is gained when nutritional intake is more than the body needs. Anabolism is the production of more complex chemical substances by synthesis of nutrients needed to build or repair body tissue; this patient will experience catabolism. Excessive adipose tissue will occur when intake exceeds energy needs; this patient would have insufficient or a lack of adipose tissue. When the body has unused energy, it is stored principally in fat/adipose tissue.
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A man with severe mental illness has difficulty with boredom, feels that attending the day program does not challenge him, and wishes to earn money. Which of the following options would be most appropriate for addressing these issues?
a. Involve him in volunteer work at the consumer-run clubhouse program at the mental health center. b. Help the patient apply for services at the state's Bureau of Vocational Rehabilitation. c. Rapidly pace him in a competitive job of his choosing, accompanied by a coach on the job site. d. First involve the patient in prevocational training, then in employment in a sheltered workshop.
The member of the surgical team who administers anesthetics and monitors the patient's status throughout the procedure is the:
1. surgeon. 2. circulating nurse. 3. perfusionist. 4. anesthesiologist.
An important self-care measure the nurse teaches a client who has sickle cell disease is to
a. avoid crowds and people who are sick. b. eat a well-balanced diet with plenty of fiber. c. get plenty of vigorous exercise daily. d. have genetic testing done if contemplating children.
There is a new norm and broadened concept in the health care system of pediatric health care in the United States
This new practice in health care recognizes that the child belongs to a community and has a particular way of life or culture and that health is affected by these factors. What is this new practice called? A) Regionalized care B) Maternal-child care C) Hospitalism D) Family-centered care