The nurse notes that a client with diabetes has muscle wasting. What should the nurse consider as being the reason for this finding?
a. Fat catabolism
b. Protein catabolism
c. Ketone metabolism
d. Glucose metabolism
b. Protein catabolism
Fat catabolism occurs when the body can't use or lacks a supply of glucose for energy and results in weight loss. Protein catabolism also occurs under the same circumstances, but in this case, skeletal muscle is broken down and the resulting amino acids are used to meet energy needs. Glucose metabolism is the preferred energy source for the body, but depends on an adequate supply of carbohydrates and insulin. Ketones are a by-product of fat catabolism and are eliminated by the kidneys, not metabolized in the body.
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A client with frequent re-admissions to the inpatient unit refuses to eat or participate in activities. The nurse functions as the client advocate by which of the following actions?
a. Respecting the client's wishes by taking food away and leaving the room door closed b. Scolding the client as a way to motivate a change in behavior c. Providing consistent encouragement to attend activities and having food available d. Ignoring the client and encouraging other health care team members to do the same
The LPN in charge of two wards on the evening shift notices that two of the nursing assistants (NAs) are constantly bickering. This appears to be interfering with patient care time. Both units are extremely busy with care needs
The solution that reflects the process of accommodation is which of the following? 1. Their issues are trivial and do not affect patient care actions. There is no time for extended discussions now. Send one of the NAs to another area and allow time to defuse. Good patient care in an expedient manner is a priority at this time. 2. Call the supervisor to send the arguing dissenters home. 3. Call the dissenters into the office. Listen to their concerns and make a decision about resolution of their trivial matters. 4. Allow the NAs to leave the building and settle their differences before they come back. Make no notation of the absence on the time sheet or in the report.
When caring for a hospitalized adolescent, a nurse should do which of the following? Select all that apply
1. Talk down to the adolescent. 2. Treat the adolescent with respect. 3. Encourage peers to visit. 4. Insist that a parent be present during examinations and procedures. 5. Assume that the adolescent has no knowledge of his or her illness.
Evidence indicates that 30 minutes of moderate-intensity endurance exercise several days a week provide what benefit to improve cardiovascular health?
a. raises pressure within the arteries to help circulate blood b. increases coronary artery size and tone c. decreases sensitivity of cells to insulin d. lowers high-density lipoproteins