NSG 232 Test 1 Questions and Answers

NSG 232 Test 1 Questions and AnswersA nurse is working within the managed care delivery model. Which of the following is trueregarding 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. - ANSWER*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, theyall reflect the business plan values of efficiency and effectiveness. Their values are reflectedinthe decision making and the policy development of the organization. Value conflicts betweencost-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 takenontheunit for a client with a decreased white blood cell count. Which of the following infectioncontrol practices does the nurse consider most important for this client? A-Diligent adherence to aseptic technique B-Using antimicrobialsoap when providing care C-Requesting prophylactic antibiotic treatment D-Implementing respiratory isolation procedures - ANSWER The client in thisscenariois 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 providecomplete protection for the client. Basal metabolic rate (BMR) - ANSWER the energy needed to maintain life-sustaining activities for a specific period of time at rest Resting energy expenditure (REE) (aka resting metabolic rate) - ANSWER amount of energythat an individual needs to consume over a 24-hour period for the body to maintainall of itsinternal working activities while at rest Where is glucose stored? ONLYSTUDENTS STORE 2025 ALL THE BEST ONLYSTUDENTS STORE 2 DO NOT COPY How? What is glycogenolysis? - ANSWER liver and skeletal muscle Glycogen Breakdown of glycogen to glucose Carbs Improve absorption of and excretion of - ANSWER Na; Ca term used when the body forms glucose from non-carbohydrate sources - ANSWER gluconeogenesis Main issue with proteins being used for energy: - ANSWER Not available for tissue breakdown, growth and repair What happens when fats are converted to glucose? - ANSWER Ketones When Amino acids are metabolized, the containing part is converted to _and excreted in the urine as - ANSWER Nitrogen; ammonia; urea Nitrogen balance reflects - ANSWER how well the body tissues are being maintainedProteins are vital to metabolism bc they are precursors to digestive and - ANSWER digestive enzymes; hormones Proteins act as fluid balance by attracting and regulating fluid balance in the bloodstream - ANSWER water Three types of lipids: - ANSWER Glycerides, Sterols, Phospholipds Glycerides are considered fats and glycerides are most common in food. - ANSWER true; tri Cholesterol is Necessary for membrane, vitamin , , and testosteroneformation - ANSWER cell; D; estrogen Low Density Lipoprotein (LDL), known as fats, Transports to body cells, andare found in diets high in fats - ANSWER Bad; cholesterol; saturated High density lipoproteins (HDL), known as fats, remove from the bloodstream to liver where it is used to produce - ANSWER ONLYSTUDENTS STORE 2025 ALL THE BEST ONLYSTUDENTS STORE 3 DO NOT COPY good; cholesterol; bile Decreased ability to excrete fluids leads to - ANSWER fluid restriction are substances present in small amounts in food that are essential tonormal and in regulating body functions - ANSWER Vitamins, organic, metabolismFat soluble vitamins , , , AND are Stored primarily in the and adiposetissue. Vitamin can be found in all body tissues - ANSWER K, A, D, E. Liver E Functions of minerals include: Help balance - ANSWER pH is primary source of absorption - ANSWER Small Intestine Metabolism - ANSWER Metabolism All biochemical reactions within the cells Factors that influence nutrition include - ANSWER Developmentalstage From infants to elders Includeslactating women Educational level Knowledge of nutrition Socioeconomic Status Ethnicity/culture Religious practices Nursing Process for Nutrition: ASSESSMENT includes, plus physical examination to determinesigns of or nutrition - ANSWER Screening Mini Nutritional Assessment ONLYSTUDENTS STORE 2025 ALL THE BEST ONLYSTUDENTS STORE 4 DO NOT COPY Anthropometry Specific measurements of IBW & BMI Laboratory and Biochemical Tests Albumin, Pre-albumin, Transferrin Dietary History and Health History Drug-Nutrient Interactions GOOD; POOR Nursing Process for Nutrition: PRIORITIES - ANSWER Diarrhea, Dysphagia, Lack of educationNursing Process for Nutrition: INTERVENTION; it is most important to identify the of the imbalance, and then provide teaching for pt and families, as well as Check food based on - ANSWER etiology; security; income If pt can not have food p.o., options include Nutrition: Deliver liquid nutrition via a tube into the G.I. tract. and Nutrition: Deliver of nutrition intravenously - ANSWER enteral, parenteral Enteral nutrition is the method. Risks include: - ANSWER Enteral; aspiration, infection, diarrhea, metabolic disturbances, alteration in drug absorption andmetabolism. Enteral feeding tubes include the NG, or and NE, or . Less than weeks ONLYSTUDENTS STORE 2025 ALL THE BEST ONLYSTUDENTS STORE 5 DO NOT COPY preferred. - ANSWER Nasogastric, nasoenteric. 4 weeks. Enteric Feedings greater than 4 weeks gastrostomy tub