Explain why there would be a rapid weight gain right after going off a starvation diet
The BMR would be decreased due to starvation (loss of protein mass) and would not return to normal after refeeding for weeks, depending on the severity and length of starvation. During starvation the GI tract would become more efficient for the absorption of many nutrients. Thus, the increased amount of kcals that are introduced with refeeding would not be needed for energy and would be converted to fat. It will take some time for muscle to be replaced and thus the BMR to return to normal. Also, water retention would take place as a result of the water losses during starvation and due to the decreased serum albumin that accompanies starvation.
You might also like to view...
A patient comes into a clinic complaining of cough, fever, and shortness of breath. The patient informs the health care provider that he is HIV positive
Upon physical exam, the family nurse practitioner (FNP) may note which of the following clinical manifestations of suspected Pneumocystis jiroveci pneumonia (PCP)? Select all that apply. A) Interstitial infiltrates on chest x-ray B) Respiratory rate of 32 with normal breath sounds C) Stridor when taking a deep breath D) Use of abdominal muscles to breathe while sitting on the exam table E) Night sweats that require clothing changes frequently throughout the night
The family of an older patient with a terminal illness has been aware of the patient's pending death and is present when the patient dies. The family's reaction to the patient's death was very emotional and demonstrated a state of disbelief
How should the nurse interpret this family's behavior? 1. Irrational behavior 2. Expression of anger 3. Maladaptive coping of the family 4. Normal shock when experiencing the loss of a loved one
The nurse is concerned that a preschool-age child is demonstrating signs of Duchenne muscular dystrophy. What did the nurse assess in this child?
A) Gower sign B) Facial weakness C) Inability to whistle D) Inadequate use of respiratory muscles
The nurse notes that a 36-hour-old newborn's serum bilirubin level has increased from 14 mg/dl to 16.6 mg/dl in an 8-hour period. What nursing intervention would be included in the plan of care for this newborn?
1. Continue to observe. 2. Begin phototherapy. 3. Begin blood exchange transfusion. 4. Stop breastfeeding.