A nurse is working within the managed care delivery model. Which of the following is true
regarding managed care?
A-All plans have the same values underlying the delivery of care.
B-Their values are not reflected in the decision making.
C-All systems reflect the values of efficiency and effectiveness.
D-There are no conflicts between cost-effectiveness and respectful care. - Answers *A-All
systems in the managed care delivery model reflect the values of efficiency and effectiveness*
Different plans may have different values underlying the delivery of care. However, they all
reflect the business plan values of efficiency and effectiveness. Their values are reflected in the
decision making and the policy development of the organization. Value conflicts between cost-
effectiveness and respectful care may be seen.
A nurse in the infection prevention and control program is conducting an assessment of
infection control practices. The nurse is evaluating the infection control actions taken on the
unit for a client with a decreased white blood cell count. Which of the following infection control
practices does the nurse consider most important for this client?
A-Diligent adherence to aseptic technique
B-Using antimicrobial soap when providing care
C-Requesting prophylactic antibiotic treatment
D-Implementing respiratory isolation procedures - Answers The client in this scenario is
neutropenic, which places the client at risk for contracting an infection. All measures of aseptic
technique must be used to protect the client. The other options do not provide complete
protection for the client.
Basal metabolic rate (BMR) - Answers the energy needed to maintain life-sustaining activities
for a specific period of time at rest
Resting energy expenditure (REE) (aka resting metabolic rate) - Answers amount of energy that
an individual needs to consume over a 24-hour period for the body to maintain all of its internal
working activities while at rest
Where is glucose stored?
, How?
What is glycogenolysis? - Answers liver and skeletal muscle
Glycogen
Breakdown of glycogen to glucose
Carbs Improve absorption of ___ and excretion of __ - Answers Na; Ca
term used when the body forms glucose from non-carbohydrate sources - Answers
gluconeogenesis
Main issue with proteins being used for energy: - Answers Not available for tissue breakdown,
growth and repair
What happens when fats are converted to glucose? - Answers Ketones
When Amino acids are metabolized, the _______ containing part is converted to _________ _and
excreted in the urine as _______ - Answers Nitrogen; ammonia; urea
Nitrogen balance reflects - Answers how well the body tissues are being maintained
Proteins are vital to metabolism bc they are precursors to digestive______ and __________ -
Answers digestive enzymes; hormones
Proteins act as fluid balance by attracting ______ and regulating fluid balance in the bloodstream
- Answers water
Three types of lipids: - Answers Glycerides, Sterols, Phospholipds
Glycerides are considered ______ fats and ____glycerides are most common in food. - Answers
true; tri
Cholesterol is Necessary for_______membrane, vitamin ___, _________, and testosterone
formation - Answers cell; D; estrogen
Low Density Lipoprotein (LDL), known as ______ fats, Transports ________ to body cells, and are
found in diets high in ________fats - Answers Bad; cholesterol; saturated
High density lipoproteins (HDL), known as ______fats,
remove ________ from the bloodstream to liver where it is used to produce_____ - Answers good;
cholesterol; bile
Decreased ability to excrete fluids leads to - Answers fluid restriction
_________ are _______substances present in small amounts in food that are essential to